Provider Demographics
NPI:1992377691
Name:ARMSTRONG, MIRANDA COPA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:COPA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 DOOLITTLE DR APT 10
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-7310
Mailing Address - Country:US
Mailing Address - Phone:715-846-8888
Mailing Address - Fax:
Practice Address - Street 1:1111 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-7804
Practice Address - Country:US
Practice Address - Phone:715-952-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist