Provider Demographics
NPI:1265554661
Name:ARMSTRONG, PAMELA GAYLE (PHD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:GAYLE
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 1:8182 LARK BROWN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6428
Mailing Address - Country:US
Mailing Address - Phone:410-872-1175
Mailing Address - Fax:410-799-5576
Practice Address - Street 1:8182 LARK BROWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6428
Practice Address - Country:US
Practice Address - Phone:410-872-1175
Practice Address - Fax:410-799-5576
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1849103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD173403OtherAPS HEALTHCARE
DCS 041 0001OtherFEDERAL BLUE CROSS
MD101211000OtherMAGELLAN BEH HEALTH
MDG 420OtherBLUE CROSS