Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 38357 | TX |
Y | 103T00000X | Psychologist | 38357 | TX |
N | 103TC1900X | Counseling Psychologist |
NPI | 1003337890 |
---|---|
Provider Name | Dr. Trey William Armstrong |
First Address | Bryan, TX 77802-2623 |
Second Address | Bryan, TX 77807-3207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2017 |
Last Update Date | 24/02/2021 |