Provider Demographics
NPI:1194308312
Name:ARMSTRONG, SHAWN (MS)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 UPPER WOODS RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT MOUNT
Mailing Address - State:PA
Mailing Address - Zip Code:18453-4604
Mailing Address - Country:US
Mailing Address - Phone:570-251-0110
Mailing Address - Fax:
Practice Address - Street 1:951 MAIN ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1903
Practice Address - Country:US
Practice Address - Phone:570-280-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015760101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional