Provider Demographics
NPI:1427001882
Name:TOWNSEND, PHILIP C (PHDPC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:C
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:PHDPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 BURKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1871
Mailing Address - Country:US
Mailing Address - Phone:281-991-9803
Mailing Address - Fax:281-991-6418
Practice Address - Street 1:3222 BURKE RD STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1871
Practice Address - Country:US
Practice Address - Phone:281-991-9803
Practice Address - Fax:281-991-6418
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical