Healthcare Provider Details

I. General information

NPI: 1033103379
Provider Name (Legal Business Name): AMANDA S. ARMSTRONG PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD. SUITE 1650
HONOLULU HI
96814-3806
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD. SUITE 1650
HONOLULU HI
96814-3806
US

V. Phone/Fax

Practice location:
  • Phone: 808-951-5540
  • Fax: 808-951-5545
Mailing address:
  • Phone: 808-951-5540
  • Fax: 808-951-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY326
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: