Provider Demographics
NPI:1821175282
Name:FINKLE, GRACE LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:LYNN
Last Name:FINKLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 TRIMBLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:919-469-2391
Practice Address - Street 1:101 SW CARY PARKWAY
Practice Address - Street 2:SUITE 270
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6205
Practice Address - Country:US
Practice Address - Phone:919-380-7099
Practice Address - Fax:919-469-2391
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1357103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0363EOtherBLUE CROSS BLUE SHIELD
1049210OtherCIGNA BEHAVIORAL HEALTH
248482OtherMENTAL HEALTH NETWORK
036839OtherVALUE OPTIONS
4286284OtherAETNA
2315887OtherAETNA HEALTH MGMT LLC