Healthcare Provider Details

I. General information

NPI: 1639353253
Provider Name (Legal Business Name): DANIEL THOMAS ARMSTRONG LPCMH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 PHILADELPHIA PIKE
WILMINGTON DE
19809-2154
US

IV. Provider business mailing address

507 PHILADELPHIA PIKE
WILMINGTON DE
19809-2154
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-8989
  • Fax: 302-762-8987
Mailing address:
  • Phone: 302-762-8989
  • Fax: 302-762-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC0000046
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: