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NPI Code Detail

MEDICARE: THERESA ARMSTRONG

MEDICARE: THERESA ARMSTRONG
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
1235Z00000XSpeech-Language Pathologist22003557AIN

General Provider Information

NPI Number : 1801912407
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA ARMSTRONG
Provider Business Mailing Address
First Line : 574 SAN CARLOS DR
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-7371
Country : US
Telephone Number : 317-466-1000
Fax Number : 317-466-2000
Provider Business Practice Location Address
First Line : 4740 KINGSWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1521
Country : US
Telephone Number : 317-466-1000
Fax Number : 317-466-2000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 11/16/2007

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Directions to “ THERESA ARMSTRONG ” Practice Location

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