Provider Demographics
NPI:1386905172
Name:PHLIP C TOWNSEND, PH,D., P.C
Entity type:Organization
Organization Name:PHLIP C TOWNSEND, PH,D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AND CONSULTING PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:PHI;IP
Authorized Official - Middle Name:C
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:PH D,
Authorized Official - Phone:281-991-9803
Mailing Address - Street 1:3933 FAIRMONT PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3174
Mailing Address - Country:US
Mailing Address - Phone:281-991-9803
Mailing Address - Fax:
Practice Address - Street 1:3933 FAIRMONT PKWY STE 102
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3174
Practice Address - Country:US
Practice Address - Phone:281-991-9803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty