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NPI Code Detail

MEDICARE: DR. MEREDITH TOWNES PSY.D.

MEDICARE:  DR. MEREDITH  TOWNES  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist019633NY

General Provider Information

NPI Number : 1215282934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEREDITH TOWNES PSY.D.
Provider Business Mailing Address
First Line : 59 HERITAGE DR APT B
Second Line :
City : NEW CITY
State : NY
Zip : 10956-5331
Country : US
Telephone Number : 917-689-7589
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line : ROSENTHAL 2
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 347-504-5403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 01/01/2016

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