Provider Demographics
NPI:1144580796
Name:ARMSTRONG, MILTO (MA)
Entity Type:Individual
Prefix:MR
First Name:MILTO
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:BARNEY
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1830 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1411
Mailing Address - Country:US
Mailing Address - Phone:425-749-1468
Mailing Address - Fax:
Practice Address - Street 1:330 112TH AVE NE STE 302
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5800
Practice Address - Country:US
Practice Address - Phone:425-749-1468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60265339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health