Provider Demographics
NPI:1649602087
Name:FINEGAN, COLLEEN ANN
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:ANN
Last Name:FINEGAN
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 1:437 TROUT RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-8909
Mailing Address - Country:US
Mailing Address - Phone:630-673-4824
Mailing Address - Fax:
Practice Address - Street 1:437 TROUT RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-8909
Practice Address - Country:US
Practice Address - Phone:630-673-4824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist