Provider Demographics
NPI:1235889783
Name:TOWNSEND, NADIA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 KINGS CROSS WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-2839
Mailing Address - Country:US
Mailing Address - Phone:209-505-0274
Mailing Address - Fax:
Practice Address - Street 1:593 KINGS CROSS WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-2839
Practice Address - Country:US
Practice Address - Phone:209-505-0274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist