Provider Demographics
NPI:1588064414
Name:TOWNE, SADIE
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:TOWNE
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 1:8 NORTHAMPTON RD
Mailing Address - Street 2:CHILDREN'S MENTAL HEALTH OUT PATIENT CLINIC
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-3224
Mailing Address - Country:US
Mailing Address - Phone:518-843-7520
Mailing Address - Fax:518-843-8537
Practice Address - Street 1:8 NORTHAMPTON RD
Practice Address - Street 2:CHILDREN'S MENTAL HEALTH OUT PATIENT CLINIC
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-3224
Practice Address - Country:US
Practice Address - Phone:518-843-7520
Practice Address - Fax:518-843-8537
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP86754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health