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General NPI Number Information
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NPI Number | 1386905172
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Entity Type | Organization
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Legal Business Name | PHLIP C TOWNSEND, PH,D., P.C
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 3933 FAIRMONT PKWY STE 102
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City | PASADENA
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State | TX
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Zip | 77504-3174
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Country | US
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Telephone | 281-991-9803
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Fax |
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Provider Business Mailing Address
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Address Line | 3933 FAIRMONT PKWY STE 102
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City | PASADENA
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State | TX
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Zip | 77504-3174
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Country | US
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Telephone | 281-991-9803
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Fax |
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Authorized Official
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Title or Position | CLINICAL AND CONSULTING PSYCHOLOGY
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Name | DR. PHI;IP C TOWNSEND
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Credential | PH. D.,
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Telephone | 281-991-9803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 21868
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License Number State | TX
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