Provider Demographics
NPI:1144333618
Name:ARMSTRONG, STEPHEN MICHAEL (MA, EDS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 WARD RD
Mailing Address - Street 2:BLDG 3, SUITE L-10
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002
Mailing Address - Country:US
Mailing Address - Phone:720-920-9380
Mailing Address - Fax:973-451-0774
Practice Address - Street 1:5400 WARD RD
Practice Address - Street 2:BLDG 3, SUITE L-10
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002
Practice Address - Country:US
Practice Address - Phone:720-920-9380
Practice Address - Fax:973-451-0774
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00113200106H00000X
COMFT.0001123106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223621847OtherEIN