Provider Demographics
NPI:1841506052
Name:ARMSTRONG, MARICKA PAT
Entity type:Individual
Prefix:MRS
First Name:MARICKA
Middle Name:PAT
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MARICKA
Other - Middle Name:P
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 BUCKMAN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-1251
Mailing Address - Country:US
Mailing Address - Phone:585-966-5984
Mailing Address - Fax:
Practice Address - Street 1:550 BUCKMAN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-1251
Practice Address - Country:US
Practice Address - Phone:585-966-5984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014435-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist