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NPI Code Detail

MEDICARE: EDNA B FOA PHD

MEDICARE: EDNA B FOA PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS000469LPA

General Provider Information

NPI Number : 1558391532
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDNA B FOA PHD
Provider Business Mailing Address
First Line : 3535 MARKET ST.
Second Line : 3RD FLOOR
City : PHILADELPHIA
State : PA
Zip : 19104-3309
Country : US
Telephone Number : 215-746-6700
Fax Number : 215-746-5155
Provider Business Practice Location Address
First Line : 3535 MARKET ST.
Second Line : 3RD FLOOR
City : PHILADELPHIA
State : PA
Zip : 19104-3309
Country : US
Telephone Number : 215-746-6700
Fax Number : 215-746-5155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 05/24/2026

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Directions to “ EDNA B FOA PHD” Practice Location

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