Provider Demographics
NPI:1114392701
Name:FINN, NATHAN JOSEPH (MS CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:JOSEPH
Last Name:FINN
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SLOCUM ST # 2
Mailing Address - Street 2:
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4020
Mailing Address - Country:US
Mailing Address - Phone:570-991-1468
Mailing Address - Fax:
Practice Address - Street 1:37 SLOCUM ST # 2
Practice Address - Street 2:
Practice Address - City:FORTY FORT
Practice Address - State:PA
Practice Address - Zip Code:18704-4020
Practice Address - Country:US
Practice Address - Phone:570-991-1468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL015072235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty