Provider Demographics
NPI:1891248795
Name:CRAIG, ANNA ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ELIZABETH
Last Name:CRAIG
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 1:20 W COLONY PL STE 230
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5577
Mailing Address - Country:US
Mailing Address - Phone:919-684-3156
Mailing Address - Fax:
Practice Address - Street 1:20 W COLONY PL STE 230
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5577
Practice Address - Country:US
Practice Address - Phone:919-684-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4513103G00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist