Provider Demographics
NPI:1497840912
Name:TOWNSEND, PENNY OLIVER (NBC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:OLIVER
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 EAST 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674
Mailing Address - Country:US
Mailing Address - Phone:256-381-9444
Mailing Address - Fax:256-381-9294
Practice Address - Street 1:116 EAST 5TH STREET
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674
Practice Address - Country:US
Practice Address - Phone:256-381-9444
Practice Address - Fax:256-381-9294
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2063237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist