Healthcare Provider Details

I. General information

NPI: 1164378774
Provider Name (Legal Business Name): KERI FOLTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 ROLLINS RD
FUQUAY VARINA NC
27526-3882
US

IV. Provider business mailing address

736 ROLLINS RD
FUQUAY VARINA NC
27526-3882
US

V. Phone/Fax

Practice location:
  • Phone: 919-552-4547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1153482
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: