Healthcare Provider Details
I. General information
NPI: 1578205340
Provider Name (Legal Business Name): TAYLOR ALEXANDRA ARMSTRONG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/11/2022
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3939 ROSWELL RD STE 200
MARIETTA GA
30062-6285
US
IV. Provider business mailing address
3939 ROSWELL RD STE 200
MARIETTA GA
30062-6285
US
V. Phone/Fax
- Phone: 404-603-1427
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY004769 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: