Provider Demographics
NPI:1770610511
Name:ANASTOPOULOS, ARTHUR DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DAVID
Last Name:ANASTOPOULOS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E NORTHWOOD ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1224
Mailing Address - Country:US
Mailing Address - Phone:336-346-3196
Mailing Address - Fax:
Practice Address - Street 1:200 E NORTHWOOD ST
Practice Address - Street 2:SUITE 320
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1224
Practice Address - Country:US
Practice Address - Phone:336-346-3196
Practice Address - Fax:336-346-3197
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2093103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical