Provider Demographics
NPI:1659435675
Name:ARMSTRONG, JOANNE M (PHD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4517
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29608-4517
Mailing Address - Country:US
Mailing Address - Phone:864-801-8842
Mailing Address - Fax:864-990-5772
Practice Address - Street 1:214 ROPER MOUNTAIN ROAD EXT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4825
Practice Address - Country:US
Practice Address - Phone:864-801-8842
Practice Address - Fax:864-990-5772
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC573103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ292160281Medicare UPIN