Provider Demographics
NPI:1972583912
Name:ARMSTRONG, CAROL E (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:E
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 VILLAGE HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-3706
Mailing Address - Country:US
Mailing Address - Phone:704-896-7876
Mailing Address - Fax:704-896-7836
Practice Address - Street 1:8211 VILLAGE HARBOR DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-3706
Practice Address - Country:US
Practice Address - Phone:704-896-7876
Practice Address - Fax:704-896-7836
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2454103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC045JVMedicare UPIN
NC2821904Medicare ID - Type UnspecifiedPPI: PROVIDER IDENTIF.
NC2821904Medicare PIN