Healthcare Provider Details

I. General information

NPI: 1386856011
Provider Name (Legal Business Name): FINNEY ZIMMERMAN PSYCHIATRIC ASSOCIATES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 N CENTER DR SUITE 203
NORFOLK VA
23502-4009
US

IV. Provider business mailing address

6320 N CENTER DR SUITE 203
NORFOLK VA
23502-4009
US

V. Phone/Fax

Practice location:
  • Phone: 757-466-0700
  • Fax: 757-461-4826
Mailing address:
  • Phone: 757-466-0700
  • Fax: 757-461-4826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number0810001640
License Number StateVA

VIII. Authorized Official

Name: DENISE GUSTAFSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 757-466-0700