Provider Demographics
NPI:1972579860
Name:GOLDFINCH, JAMES LEE (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEE
Last Name:GOLDFINCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 ISLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1835
Mailing Address - Country:US
Mailing Address - Phone:978-691-5561
Mailing Address - Fax:
Practice Address - Street 1:60 ISLAND ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1835
Practice Address - Country:US
Practice Address - Phone:978-691-5561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7001103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist