Provider Demographics
NPI:1396856217
Name:FINKELSTEIN, ROBERT NMN (LSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:NMN
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 SW 67TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7437
Mailing Address - Country:US
Mailing Address - Phone:580-536-5135
Mailing Address - Fax:
Practice Address - Street 1:1202 SW 67TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-7437
Practice Address - Country:US
Practice Address - Phone:580-536-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health