Provider Demographics
NPI:1942977822
Name:GAND, ANASTASIA (PSYD)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:GAND
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 1:1710 E FRANKLIN ST # 1003
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5851
Mailing Address - Country:US
Mailing Address - Phone:919-296-5958
Mailing Address - Fax:
Practice Address - Street 1:1710 E FRANKLIN ST STE 1003
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5851
Practice Address - Country:US
Practice Address - Phone:919-296-5958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist