Provider Demographics
NPI:1275048142
Name:ALLSUP-ARMSTRONG, PEGGY
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:ALLSUP-ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ALLSUP-ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:22881 WCR 70
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-9302
Mailing Address - Country:US
Mailing Address - Phone:970-353-1670
Mailing Address - Fax:
Practice Address - Street 1:22881 WCR 70
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:CO
Practice Address - Zip Code:80615-9302
Practice Address - Country:US
Practice Address - Phone:970-353-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist