Healthcare Provider Details

I. General information

NPI: 1730017633
Provider Name (Legal Business Name): INSOMNIA LOGIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 W ESCUDA DR
GLENDALE AZ
85308-5519
US

IV. Provider business mailing address

7865 W BELL RD
PEORIA AZ
85382-3803
US

V. Phone/Fax

Practice location:
  • Phone: 507-398-5518
  • Fax:
Mailing address:
  • Phone: 507-398-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DONALD R. TOWNSEND
Title or Position: PSYCHOLOGIST/OWNER
Credential:
Phone: 507-398-5518