Provider Demographics
NPI:1376985473
Name:TOWNES, DARLENE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:TOWNES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 506774
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-6774
Mailing Address - Country:US
Mailing Address - Phone:619-427-4667
Mailing Address - Fax:
Practice Address - Street 1:12636 HIGH BLUFF DR
Practice Address - Street 2:STE 400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2071
Practice Address - Country:US
Practice Address - Phone:858-500-2434
Practice Address - Fax:858-815-6646
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31615103T00000X, 103TA0700X, 103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral