Healthcare Provider Details
I. General information
NPI: 1841321825
Provider Name (Legal Business Name): AMANDA S ARMSTRONG, PHD, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 KAPIOLANI BLVD SUITE 1650
HONOLULU HI
96814-3801
US
IV. Provider business mailing address
1600 KAPIOLANI BLVD SUITE 1650
HONOLULU HI
96814-3801
US
V. Phone/Fax
- Phone: 808-951-5540
- Fax: 808-951-5545
- Phone: 808-951-5540
- Fax: 808-951-5545
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PSY 326 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
AMANDA
S
ARMSTRONG
Title or Position: CLINICAL AND NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 808-951-5540