Provider Demographics
NPI:1033678578
Name:PHYLLIS ARMSTRONG PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:PHYLLIS ARMSTRONG PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-613-0829
Mailing Address - Street 1:8632 S SEPULVEDA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4020
Mailing Address - Country:US
Mailing Address - Phone:310-613-0829
Mailing Address - Fax:310-337-7333
Practice Address - Street 1:8632 S SEPULVEDA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4020
Practice Address - Country:US
Practice Address - Phone:310-613-0829
Practice Address - Fax:310-337-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty