| Doctor Name: | MARTIN JAMES FINO |
| NPI Number: | 1053408518 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 048-0000760 |
| Business Practice Address: | 73 Center St Rutland, VT - 057014046 |
| Business Phone Number: | 8027753600 |
| Business Fax Number: | 8027752954 |
| Mailing Address: | 73 Center St, RUTLAND |
| State: | VT |
| Postal Code: | 057014046 |
| Phone Number: | 8027753600 |
| Fax Number: | 8027752954 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 048-0000760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |