Provider Demographics
NPI:1811063266
Name:FINN, KATHLEEN (PHD)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:FINN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 GREAT RD
Mailing Address - Street 2:ACTON PSYCHIATRIC ASSOCIATES
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4187
Mailing Address - Country:US
Mailing Address - Phone:978-263-1103
Mailing Address - Fax:978-264-0403
Practice Address - Street 1:468 GREAT RD
Practice Address - Street 2:ACTON PSYCHIATRIC ASSOCIATES
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4187
Practice Address - Country:US
Practice Address - Phone:978-263-1103
Practice Address - Fax:978-264-0403
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2918103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical