MEDICARE: DR. THOMAS ARMSTRONG PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY60966315	WA

General Provider Information

NPI Number	:	1659132587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ARMSTRONG PHD

Provider Business Mailing Address
First Line	:	702 LINCOLN ST
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-3234
Country	:	US
Telephone Number	:	509-386-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 LINCOLN ST
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-3234
Country	:	US
Telephone Number	:	509-386-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

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