MEDICARE: STEPHEN E FINN PHD

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	103TC0700X	Clinical Psychologist	23064	TX

General Provider Information

NPI Number	:	1962516419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN E FINN PHD

Provider Business Mailing Address
First Line	:	4310 MEDICAL PKWY STE 101
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78756-3331
Country	:	US
Telephone Number	:	512-329-5090
Fax Number	:	512-329-6765

Provider Business Practice Location Address
First Line	:	4310 MEDICAL PKWY STE 101
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78756-3331
Country	:	US
Telephone Number	:	512-329-5090
Fax Number	:	512-329-6765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/21/2022

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Directions to “ STEPHEN E FINN PHD” Practice Location

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