Healthcare Provider Details

I. General information

NPI: 1457783615
Provider Name (Legal Business Name): ANASTASIA NICOLE FINCH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SUNDAY DR STE 200
RALEIGH NC
27607-6000
US

IV. Provider business mailing address

3020 BARRYMORE ST UNIT 106
RALEIGH NC
27603-3377
US

V. Phone/Fax

Practice location:
  • Phone: 919-384-9682
  • Fax:
Mailing address:
  • Phone: 386-506-9756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number5622
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: