Healthcare Provider Details

I. General information

NPI: 1134210495
Provider Name (Legal Business Name): CHERILYN ARMSTRONG HENRY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 N MACARTHUR AVE
PANAMA CITY FL
32401-3654
US

IV. Provider business mailing address

4324 W 20TH ST APT E230
PANAMA CITY FL
32405-1411
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-9008
  • Fax:
Mailing address:
  • Phone: 850-914-9179
  • Fax: 850-914-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA7522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: