Healthcare Provider Details

I. General information

NPI: 1740763770
Provider Name (Legal Business Name): KATHERINE MICHELLE ARMBRUST M.S. C.A.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E NORTH ST
BUFFALO NY
14203-1002
US

IV. Provider business mailing address

8767 WOODSIDE DR
EDEN NY
14057-1414
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 716-598-1903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: