Healthcare Provider Details

I. General information

NPI: 1134081680
Provider Name (Legal Business Name): ISADORA TOWNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CUMMINGS CTR
BEVERLY MA
01915-6142
US

IV. Provider business mailing address

18 CENTRAL AVE
DANVERS MA
01923-2918
US

V. Phone/Fax

Practice location:
  • Phone: 781-593-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: