Provider Demographics
NPI:1306496260
Name:TOWNSEND, SHAINA LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:LEE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 E THOMAS RD UNIT 2091
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-8125
Mailing Address - Country:US
Mailing Address - Phone:602-887-3227
Mailing Address - Fax:
Practice Address - Street 1:5425 E THOMAS RD UNIT 2091
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-8125
Practice Address - Country:US
Practice Address - Phone:971-340-8242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AZPSY-005786103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health