MEDICARE: MRS. SUSAN O'NEILL ARMSTRONG PLSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2006038379	MO

General Provider Information

NPI Number	:	1366576126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN O'NEILL ARMSTRONG PLSW

Provider Business Mailing Address
First Line	:	4316 LINDELL BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2702
Country	:	US
Telephone Number	:	314-533-2229
Fax Number	:	314-533-7496

Provider Business Practice Location Address
First Line	:	4316 LINDELL BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2702
Country	:	US
Telephone Number	:	314-533-2229
Fax Number	:	314-533-7496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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