Provider Demographics
NPI:1619411105
Name:TOWSLEY, CAITLIN (BA)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:TOWSLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:LEAGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 FAIRVIEW STREET
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301
Mailing Address - Country:US
Mailing Address - Phone:802-254-6028
Mailing Address - Fax:802-254-7501
Practice Address - Street 1:51 FAIRVIEW STREET
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301
Practice Address - Country:US
Practice Address - Phone:802-254-6028
Practice Address - Fax:802-254-7501
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker