Provider Demographics
NPI:1497872295
Name:TOWNSEND, KATHLEEN J (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27318 EQUESTRIAN DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-1827
Mailing Address - Country:US
Mailing Address - Phone:410-845-8273
Mailing Address - Fax:
Practice Address - Street 1:101 LONG AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5045
Practice Address - Country:US
Practice Address - Phone:410-677-5178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2014-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist