Healthcare Provider Details

I. General information

NPI: 1568838415
Provider Name (Legal Business Name): ALICE ARMSTRONG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 KENDRICK ST SUITE 204
NEEDHAM MA
02494-2726
US

IV. Provider business mailing address

20 RESEARCH PKWY
OLD SAYBROOK CT
06475-4214
US

V. Phone/Fax

Practice location:
  • Phone: 800-370-3651
  • Fax: 877-515-7147
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number8488
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: