Provider Demographics
NPI:1174635890
Name:ARMSTRONG, NANCY CAROL (MA CCC-A/SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CAROL
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA CCC-A/SLP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:CAROL
Other - Last Name:MONACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP/A
Mailing Address - Street 1:480 BEAVER CREEK CV
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-7412
Mailing Address - Country:US
Mailing Address - Phone:731-445-8919
Mailing Address - Fax:731-285-3965
Practice Address - Street 1:480 BEAVER CREEK CV
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-7412
Practice Address - Country:US
Practice Address - Phone:731-445-8919
Practice Address - Fax:731-285-3965
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000159231H00000X, 237600000X
TN0000001182235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter