MEDICARE: DEBORAH R ARMSTRONG LICSW

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	100263	MA

General Provider Information

NPI Number	:	1467432641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH R ARMSTRONG LICSW

Provider Business Mailing Address
First Line	:	6 NOWERS RD
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-1607
Country	:	US
Telephone Number	:	781-648-3660
Fax Number	:	781-863-8391

Provider Business Practice Location Address
First Line	:	94 PLEASANT ST
Second Line	:	SUITE 8
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6535
Country	:	US
Telephone Number	:	781-648-3660
Fax Number	:	781-863-8391

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/08/2007

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