Provider Demographics
NPI:1174678304
Name:FINKELSTEIN, MARTIN ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ROBERT
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DYLAN DR
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-4415
Mailing Address - Country:US
Mailing Address - Phone:207-219-8975
Mailing Address - Fax:
Practice Address - Street 1:20 DYLAN DR
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-4415
Practice Address - Country:US
Practice Address - Phone:207-219-8975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME291103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME003396OtherANTHEM BLUE CROSS
ME003396OtherANTHEM BLUE CROSS