Provider Demographics
NPI:1134205404
Name:FINKELSTEIN, HARRIS (PHD)
Entity type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:
Last Name:FINKELSTEIN
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 1:1200 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4344
Mailing Address - Country:US
Mailing Address - Phone:302-594-9000
Mailing Address - Fax:302-594-9004
Practice Address - Street 1:1200 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4344
Practice Address - Country:US
Practice Address - Phone:302-594-9000
Practice Address - Fax:302-594-9004
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB10000196103T00000X
PAPS004021L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000632125Medicaid
DE000632125Medicaid
FIN604010Medicare ID - Type Unspecified