Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 6301007421 | MI |
NPI | 1245632074 |
---|---|
Provider Name | Mrs. Cheryl Marie Armstrong-Scott |
First Address | Detroit, MI 48207-4274 |
Second Address | Detroit, MI 48207-4274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2014 |
Last Update Date | 24/09/2014 |