Provider Demographics
NPI:1588876528
Name:ARMSTEAD, ROBERT W (PHD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:W
Last Name:ARMSTEAD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 KAYENTA COURT
Mailing Address - Street 2:STE 3
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336
Mailing Address - Country:US
Mailing Address - Phone:928-282-0086
Mailing Address - Fax:928-204-2273
Practice Address - Street 1:30 KAYENTA COURT
Practice Address - Street 2:STE 3
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3716
Practice Address - Country:US
Practice Address - Phone:928-282-0086
Practice Address - Fax:928-204-2273
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3402103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical