Provider Demographics
NPI:1780827493
Name:TOWLE, PATRICIA O'BRIEN (PHD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:O'BRIEN
Last Name:TOWLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL OVAL WEST
Mailing Address - Street 2:WIHD CEDARWOOD HALL
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-8212
Mailing Address - Fax:913-493-1973
Practice Address - Street 1:20 HOSPITAL OVAL W
Practice Address - Street 2:WIHD CEDARWOOD HALL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1559
Practice Address - Country:US
Practice Address - Phone:914-493-8212
Practice Address - Fax:914-493-1973
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008684103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent