MEDICARE: DR. GLORIA L. FOLEY PH.D

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
1	103T00000X	Psychologist	23235	TX

General Provider Information

NPI Number	:	1033205430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLORIA L. FOLEY PH.D

Provider Business Mailing Address
First Line	:	3509 WOODROW STREET
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-1733
Country	:	US
Telephone Number	:	512-476-0260
Fax Number	:	512-223-3408

Provider Business Practice Location Address
First Line	:	3509 WOODROW STREET
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-1733
Country	:	US
Telephone Number	:	512-476-0260
Fax Number	:	512-223-3408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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