Provider Demographics
NPI:1396119319
Name:ARMSTRONG, VERONICA ANN
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:VERONICA
Other - Middle Name:ANN
Other - Last Name:LEES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:152 SEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2115
Mailing Address - Country:US
Mailing Address - Phone:631-790-3842
Mailing Address - Fax:
Practice Address - Street 1:152 SEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2115
Practice Address - Country:US
Practice Address - Phone:631-790-3842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst