MEDICARE: DR. PAMELA F FOLEY 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
1	103T00000X	Psychologist	35SI00399200	NJ

General Provider Information

NPI Number	:	1629236245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA F FOLEY PHD

Provider Business Mailing Address
First Line	:	38 CHRISTY DR
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-6828
Country	:	US
Telephone Number	:	973-275-2742
Fax Number	:	732-560-5059

Provider Business Practice Location Address
First Line	:	400 S ORANGE AVE
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2646
Country	:	US
Telephone Number	:	973-275-2742
Fax Number	:	973-275-2188

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

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	05/30/2008

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