Provider Demographics
NPI:1568988434
Name:ARMSTRONG, TIMOTHY BURKE
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:BURKE
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 NOBLE WALK CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2200
Mailing Address - Country:US
Mailing Address - Phone:703-402-3413
Mailing Address - Fax:
Practice Address - Street 1:1125 NOBLE WALK CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2200
Practice Address - Country:US
Practice Address - Phone:703-402-3413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty