Basic Information
Provider Information
NPI: 1568630861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8200 STOCKDALE HWY STE M10
Address2: #210
City: BAKERSFIELD
State: CA
PostalCode: 933111029
CountryCode: US
TelephoneNumber: 6614777613
FaxNumber:  
Practice Location
Address1: 2737 W. CECIL AVE
Address2:  
City: DELANO
State: CA
PostalCode: 932160567
CountryCode: US
TelephoneNumber: 6617212345
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/20/2008
LastUpdateDate: 02/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPSY7648CAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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