Healthcare Provider Details
I. General information
NPI: 1851327589
Provider Name (Legal Business Name): FINNEY ZIMMERMAN PSYCHIATRIC ASSOCIATES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2006
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
- Phone: 757-466-0700
- Fax: 757-461-4826
- Phone: 757-466-0700
- Fax: 757-461-4826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DENISE
GUSTAFSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 757-466-0700