Provider Demographics
NPI:1700174844
Name:ARMSTRONG, PATRICK ER (LMFT)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:ER
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:LMFT
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 2962
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-0962
Mailing Address - Country:US
Mailing Address - Phone:707-303-0638
Mailing Address - Fax:
Practice Address - Street 1:2230 PROFESSIONAL DR STE A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403
Practice Address - Country:US
Practice Address - Phone:707-483-9061
Practice Address - Fax:888-965-4374
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT52956106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA939705OtherBEACON HEALTH OPTIONS