Provider Demographics
NPI:1194909333
Name:ARMSTRONG, HEATHER HENDRIX (AUD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:HENDRIX
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:AMELIA
Other - Last Name:HENDRIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1015 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3831
Mailing Address - Country:US
Mailing Address - Phone:864-227-0444
Mailing Address - Fax:864-229-4100
Practice Address - Street 1:1015 SPRING ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3831
Practice Address - Country:US
Practice Address - Phone:864-227-0444
Practice Address - Fax:864-229-4100
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2552231H00000X
SC3912231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU2552OtherMEDICAL LICENSE
SC3912OtherAUDIOLOGY LIC