MEDICARE: ELLEN R. FINK, PSY.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	35SI00178800	NJ

General Provider Information

NPI Number	:	1881614386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLEN R. FINK, PSY.D., P.C.

Provider Business Mailing Address
First Line	:	363 HAMILTON AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08609-2716
Country	:	US
Telephone Number	:	609-396-3491
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 HAMILTON AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08609-2716
Country	:	US
Telephone Number	:	609-396-3491
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. ELLEN R FINK
Credential	:	PSY.D.
Telephone Number	:	609-396-3491

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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