Provider Demographics
NPI:1093451502
Name:FINNEGAN, KERRY L
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:L
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:L
Other - Last Name:RITCHIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 OLD SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03221-3507
Mailing Address - Country:US
Mailing Address - Phone:978-423-5754
Mailing Address - Fax:
Practice Address - Street 1:31 OLD SUTTON RD
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:NH
Practice Address - Zip Code:03221-3507
Practice Address - Country:US
Practice Address - Phone:978-423-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-08
Last Update Date:2022-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health