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NPI Code Detail

MEDICARE: DR. DARLENE TOWNES PSYD

MEDICARE: DR. DARLENE TOWNES PSYD
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
1103T00000XPsychologistPSY31615CA
2103TA0700XAdult Development & Aging PsychologistPSY31615CA
3103TB0200XCognitive & Behavioral PsychologistPSY31615CA
4103TC0700XClinical PsychologistPSY31615CA

General Provider Information

NPI Number : 1376985473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARLENE TOWNES PSYD
Provider Business Mailing Address
First Line : PO BOX 506774
Second Line :
City : SAN DIEGO
State : CA
Zip : 92150-6774
Country : US
Telephone Number : 619-427-4667
Fax Number :
Provider Business Practice Location Address
First Line : 12636 HIGH BLUFF DR
Second Line : STE 400
City : SAN DIEGO
State : CA
Zip : 92130-2071
Country : US
Telephone Number : 858-500-2434
Fax Number : 858-815-6646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2013
Last Update Date : 02/28/2020

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