Basic Information
Provider Information
NPI: 1972847655
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMOUR
FirstName: ERIN
MiddleName: N.
NamePrefix:  
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4000
Address2: 116B
City: MOUNTAIN HOME
State: TN
PostalCode: 376844000
CountryCode: US
TelephoneNumber: 4239261171
FaxNumber: 4239792655
Practice Location
Address1: 116B DOGWOOD AVENUE
Address2: BUILDING 69
City: MOUNTAIN HOME
State: TN
PostalCode: 376844000
CountryCode: US
TelephoneNumber: 4239261171
FaxNumber: 4239792655
Other Information
ProviderEnumerationDate: 11/19/2012
LastUpdateDate: 10/24/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X3140TNY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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