Provider Demographics
NPI:1659306009
Name:TOWLER, EDWYNA MARGARET (DCSW,LCSW,MSW)
Entity Type:Individual
Prefix:MRS
First Name:EDWYNA
Middle Name:MARGARET
Last Name:TOWLER
Suffix:
Gender:F
Credentials:DCSW,LCSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3488 EVERGREEN LN APT B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-4832
Mailing Address - Country:US
Mailing Address - Phone:314-894-8283
Mailing Address - Fax:
Practice Address - Street 1:VETERANS ADMINISTRATION MEDICAL CENTER
Practice Address - Street 2:JEFFERSON BARRACKS DIVISION
Practice Address - City:ST..LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0001541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical