Provider Demographics
NPI:1346052206
Name:TOWNSEND, CHEYNOWA LEIGH
Entity type:Individual
Prefix:
First Name:CHEYNOWA
Middle Name:LEIGH
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 S CINCINNATI AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3035
Mailing Address - Country:US
Mailing Address - Phone:918-645-0757
Mailing Address - Fax:
Practice Address - Street 1:3826 S CINCINNATI AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-3035
Practice Address - Country:US
Practice Address - Phone:918-645-0757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist