Provider Demographics
NPI:1497066344
Name:DR. TOWNSEND & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. TOWNSEND & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:904-797-2705
Mailing Address - Street 1:9 SAINT JOHNS MEDICAL PK DR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5343
Mailing Address - Country:US
Mailing Address - Phone:904-797-2705
Mailing Address - Fax:904-797-2820
Practice Address - Street 1:9 SAINT JOHNS MEDICAL PK DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5343
Practice Address - Country:US
Practice Address - Phone:904-797-2705
Practice Address - Fax:904-797-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty