Individual
DR. VANESSA Y TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9 SAINT JOHNS MEDICAL PK DR, ST AUGUSTINE, FL 32086-5343
(904) 797-2705
(904) 797-2820
Mailing address
9 SAINT JOHNS MEDICAL PK DR, ST AUGUSTINE, FL 32086-5343
(904) 797-2705
(904) 797-2820
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54898
BCBS
FL
Enumeration date
02/29/2008
Last updated
02/29/2008
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