Provider Demographics
NPI:1174116057
Name:ARMSTRONG, TRICIA LEA (MA, CCC, SLP, CLC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:LEA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA, CCC, SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1605
Mailing Address - Country:US
Mailing Address - Phone:651-307-3931
Mailing Address - Fax:
Practice Address - Street 1:2046 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1605
Practice Address - Country:US
Practice Address - Phone:651-307-3931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6248235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist