Healthcare Provider Details

I. General information

NPI: 1164643763
Provider Name (Legal Business Name): TONYA DENISE ARMSTRONG PH.D., M.T.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 HIGHGATE DR SUITE 102
DURHAM NC
27713-6623
US

IV. Provider business mailing address

5315 HIGHGATE DR SUITE 102
DURHAM NC
27713-6623
US

V. Phone/Fax

Practice location:
  • Phone: 919-418-1718
  • Fax: 919-794-5715
Mailing address:
  • Phone: 919-418-1718
  • Fax: 919-794-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2708
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number2708
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2708
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: