Doctor Name: | DR. RANDY FINGERHUT |
NPI Number: | 1003011552 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS-009165-L |
Business Practice Address: | 300 E Lancaster Ave Suite 207 Wynnewood, PA - 190962139 |
Business Phone Number: | 2159511284 |
Business Fax Number: | |
Mailing Address: | 300 E Lancaster Ave, Suite 207 WYNNEWOOD |
State: | PA |
Postal Code: | 190962139 |
Phone Number: | 2159511284 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PS-009165-L |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |