Provider Demographics
NPI:1851552095
Name:ARMSTRONG, THERESA J (MA)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:J
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:THERESA
Other - Middle Name:J
Other - Last Name:SOBOTEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1 CAROUSEL DR
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-2009
Mailing Address - Country:US
Mailing Address - Phone:215-264-5449
Mailing Address - Fax:
Practice Address - Street 1:1 CAROUSEL DR
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-2009
Practice Address - Country:US
Practice Address - Phone:215-264-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2015-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004678101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor