Provider Demographics
NPI:1033621735
Name:ARMSTRONG, BOBBY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:L
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 BLACK WALNUT CT
Mailing Address - Street 2:A
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9467
Mailing Address - Country:US
Mailing Address - Phone:336-298-1772
Mailing Address - Fax:
Practice Address - Street 1:4928 BLACK WALNUT CT
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214
Practice Address - Country:US
Practice Address - Phone:336-337-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 106H00000X, 101YP1600X
NCTNS794A101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist