Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 001151 | CT |
N | 103T00000X | Psychologist | 001151 | CT |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 001151 | CT |
N | 103G00000X | Clinical Psychologist | 001151 | CT |
N | 103TC0700X | Clinical Psychologist | 001151 | CT |
N | 103TH0100X | Health Service | 001151 | CT |
NPI | 1154469716 |
---|---|
Provider Name | Thomas Finn |
First Address | Southington, CT 06489-4653 |
Second Address | Southington, CT 06489-2514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060001151CT01 | ANTHEM PROVIDER NUMBER (01) | CT |
212099 | MENTAL HEALTH NETWORK NO. (01) | CT |
61-35441 | CONNECTICARE PROVIDER NO. (01) | CT |