Provider Demographics
NPI:1619758240
Name:FINK, LORI MICHELLE (LMFT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:MICHELLE
Last Name:FINK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HAMILTON RD APT 5
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-2318
Mailing Address - Country:US
Mailing Address - Phone:917-608-2249
Mailing Address - Fax:
Practice Address - Street 1:851 FRANKLIN LAKE RD STE 204
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2267
Practice Address - Country:US
Practice Address - Phone:415-966-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37I00216900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist