Provider Demographics
NPI:1699896225
Name:TOWLER, LAURENCE DAVID (MED, CAGS)
Entity type:Individual
Prefix:
First Name:LAURENCE
Middle Name:DAVID
Last Name:TOWLER
Suffix:
Gender:M
Credentials:MED, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 CANAL ST.
Mailing Address - Street 2:STE 1 EAST
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840
Mailing Address - Country:US
Mailing Address - Phone:978-686-8202
Mailing Address - Fax:978-686-1281
Practice Address - Street 1:599 CANAL ST.
Practice Address - Street 2:STE 1 EAST
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840
Practice Address - Country:US
Practice Address - Phone:978-686-8202
Practice Address - Fax:978-686-1281
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical