Provider Demographics
NPI:1730446055
Name:ARMSTRONG SPEECH & HEARING AID CENTER
Entity type:Organization
Organization Name:ARMSTRONG SPEECH & HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:CALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-548-4455
Mailing Address - Street 1:200 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-2437
Mailing Address - Country:US
Mailing Address - Phone:724-548-4455
Mailing Address - Fax:724-543-4491
Practice Address - Street 1:200 S WATER ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2437
Practice Address - Country:US
Practice Address - Phone:724-548-4455
Practice Address - Fax:724-543-4491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000075L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014183060003Medicaid
PA203474Medicare UPIN