Provider Demographics
NPI:1245446806
Name:FINCH, JANET L (PSYD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:FINCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4333
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-0333
Mailing Address - Country:US
Mailing Address - Phone:757-560-0829
Mailing Address - Fax:757-498-1048
Practice Address - Street 1:2940 N LYNNHAVEN RD
Practice Address - Street 2:SUITE 110
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6949
Practice Address - Country:US
Practice Address - Phone:757-560-0829
Practice Address - Fax:757-498-1048
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001493103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA018698OtherVALUE OPTIONS
VA173273OtherBLUE CROSS
VA018698OtherTRICARE
VA080200OtherSENTARA BEHAVIORAL HEALTH
VA018698OtherVALUE OPTIONS