Healthcare Provider Details
I. General information
NPI: 1235264730
Provider Name (Legal Business Name): TONYA D ARMSTRONG PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8450 FALLS OF NEUSE RD STE 200
RALEIGH NC
27615-3549
US
IV. Provider business mailing address
8450 FALLS OF NEUSE RD STE 200
RALEIGH NC
27615-3549
US
V. Phone/Fax
- Phone: 919-418-1718
- Fax: 919-794-5715
- Phone: 919-418-1718
- Fax: 919-794-5715
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 2708 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | 2708 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
TONYA
D.
ARMSTRONG
Title or Position: PRESIDENT
Credential: PH.D., M.T.S.
Phone: 919-418-1718