Provider Demographics
NPI:1639293137
Name:TOWAL, PATRICIA (MED LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:TOWAL
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 FM 1431 #327
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5006
Mailing Address - Country:US
Mailing Address - Phone:801-409-4690
Mailing Address - Fax:801-409-4690
Practice Address - Street 1:1107 FM 1431 # 327
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5006
Practice Address - Country:US
Practice Address - Phone:801-409-4690
Practice Address - Fax:801-409-4690
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15285101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15285OtherTX LICENSE NUMBER LPC