Provider Demographics
NPI:1952659534
Name:FINNOFF, REBECCA SOPHIA (MA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SOPHIA
Last Name:FINNOFF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 ALPINE AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3244
Mailing Address - Country:US
Mailing Address - Phone:303-521-8059
Mailing Address - Fax:
Practice Address - Street 1:875 ALPINE AVE APT 4
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3244
Practice Address - Country:US
Practice Address - Phone:303-521-8059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health