Provider Demographics
NPI:1619344058
Name:FINN, MINDY J
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:J
Last Name:FINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 WHISPERING LN
Mailing Address - Street 2:UNIT A
Mailing Address - City:HAZEL GREEN
Mailing Address - State:WI
Mailing Address - Zip Code:53811-9739
Mailing Address - Country:US
Mailing Address - Phone:972-890-7084
Mailing Address - Fax:
Practice Address - Street 1:117 S OLIVE ST
Practice Address - Street 2:
Practice Address - City:MAQUOKETA
Practice Address - State:IA
Practice Address - Zip Code:52060-3015
Practice Address - Country:US
Practice Address - Phone:563-652-4958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health