Provider Demographics
NPI:1487002994
Name:FINK, LATHAM HENRY LEEDS (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LATHAM
Middle Name:HENRY LEEDS
Last Name:FINK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 SOL WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2556
Mailing Address - Country:US
Mailing Address - Phone:512-861-2907
Mailing Address - Fax:512-861-2908
Practice Address - Street 1:2703 SOL WILSON AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2556
Practice Address - Country:US
Practice Address - Phone:512-861-2907
Practice Address - Fax:512-861-2908
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS08772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry