MEDICARE: DONALD R. TOWNSEND PHD, LP

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
1	103TB0200X	Cognitive & Behavioral Psychologist	LP4344	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447204359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD R. TOWNSEND PHD, LP

Provider Business Mailing Address
First Line	:	29446 N 51ST PL
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-2319
Country	:	US
Telephone Number	:	507-398-5518
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 E CACTUS RD
Second Line	:	STE A
City	:	PHOENIX
State	:	AZ
Zip	:	85032-7196
Country	:	US
Telephone Number	:	507-398-5518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	05/17/2016

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