Provider Demographics
NPI:1952036758
Name:ARMSTRONG, BRENDA ISABEL (LSS,MS)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:ISABEL
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LSS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 N BRAESWOOD BLVD APT 77
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2848
Mailing Address - Country:US
Mailing Address - Phone:281-912-5330
Mailing Address - Fax:
Practice Address - Street 1:4620 N BRAESWOOD BLVD APT 77
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-2848
Practice Address - Country:US
Practice Address - Phone:281-912-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70046103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool