Individual
DR. STEVEN GLEN TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
8928 PORTAGE RD, PORTAGE, MI 49002-6420
(269) 323-9797
(269) 323-7779
Mailing address
8928 PORTAGE RD, PORTAGE, MI 49002-6420
(269) 323-9797
(269) 323-7779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C946040
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
12/29/2005
Last updated
10/06/2011
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