Provider Demographics
NPI:1285702399
Name:ARMSTRONG, HEATHER (PSYD HSPP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PSYD HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1360
Mailing Address - Country:US
Mailing Address - Phone:317-858-8630
Mailing Address - Fax:317-858-8715
Practice Address - Street 1:1265 N BRADFORD DR
Practice Address - Street 2:
Practice Address - City:DELPHI
Practice Address - State:IN
Practice Address - Zip Code:46923-9553
Practice Address - Country:US
Practice Address - Phone:765-564-2247
Practice Address - Fax:765-564-2249
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IN99049536A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12325737OtherCAQH