Provider Demographics
NPI:1093484461
Name:ARMSTRONG, ERICA ANN (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ANN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W 2ND ST APT A
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:IL
Mailing Address - Zip Code:61010-1561
Mailing Address - Country:US
Mailing Address - Phone:815-290-0829
Mailing Address - Fax:888-491-2199
Practice Address - Street 1:124 W 2ND ST APT A
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:IL
Practice Address - Zip Code:61010-1561
Practice Address - Country:US
Practice Address - Phone:815-290-0829
Practice Address - Fax:888-491-2199
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242006549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist