Provider Demographics
NPI:1437539160
Name:ARMSTRONG, KATHRYN COLE
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:COLE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9241 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTERNVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13486-2302
Mailing Address - Country:US
Mailing Address - Phone:315-725-0170
Mailing Address - Fax:
Practice Address - Street 1:409 BELL RD S
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-3864
Practice Address - Country:US
Practice Address - Phone:315-338-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025496235Z00000X
NY025496-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist