Provider Demographics
NPI:1245486976
Name:JURICH-FINNEY, ERIN RENAE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:RENAE
Last Name:JURICH-FINNEY
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 1:407 E MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3407
Mailing Address - Country:US
Mailing Address - Phone:276-477-3006
Mailing Address - Fax:276-525-4480
Practice Address - Street 1:407 E MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3407
Practice Address - Country:US
Practice Address - Phone:276-477-3006
Practice Address - Fax:276-525-4480
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004809103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04140091Medicaid