Basic Information
Provider Information
NPI: 1285652750
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINNEY
FirstName: CATHERINE
MiddleName: DOUGLAS
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FINNEY
OtherFirstName: C
OtherMiddleName: DOUGLAS
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: LCSW
OtherLastNameType: 2
Mailing Information
Address1: 420 N CENTER DR
Address2: SUITE 141
City: NORFOLK
State: VA
PostalCode: 23502
CountryCode: US
TelephoneNumber: 7574660700
FaxNumber: 7574614826
Practice Location
Address1: 420 N CENTER DR
Address2: SUITE 141
City: NORFOLK
State: VA
PostalCode: 23502
CountryCode: US
TelephoneNumber: 7574660700
FaxNumber: 7574614826
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X0904001633VAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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