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NPI Code Detail

MEDICARE: DR. MARY E. FOLEY PSYD

MEDICARE: DR. MARY E. FOLEY PSYD
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
1103TC0700XClinical PsychologistKY-296038KY

General Provider Information

NPI Number : 1841179587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY E. FOLEY PSYD
Provider Business Mailing Address
First Line : 450 FOREST RD
Second Line :
City : BENTON
State : KY
Zip : 42025-5925
Country : US
Telephone Number : 270-210-6223
Fax Number :
Provider Business Practice Location Address
First Line : 2500 HOLT RD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-8661
Country : US
Telephone Number : 270-210-6223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 08/27/2025

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