1669707931 NPI number — MRS. JENNIFER ELIZABETH FOLEY M.A

Table of content: MRS. JENNIFER ELIZABETH FOLEY M.A (NPI 1669707931)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669707931 NPI number — MRS. JENNIFER ELIZABETH FOLEY M.A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOLEY
Provider First Name:
JENNIFER
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669707931
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 N 6TH ST
Provider Second Line Business Mailing Address:
NEW BEDFORD JUVENILE COURT CLINIC
Provider Business Mailing Address City Name:
NEW BEDFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02740-6141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-999-9700
Provider Business Mailing Address Fax Number:
508-999-5598

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 N 6TH ST
Provider Second Line Business Practice Location Address:
NEW BEDFORD JUVENILE COURT CLINIC
Provider Business Practice Location Address City Name:
NEW BEDFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02740-6141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-999-9700
Provider Business Practice Location Address Fax Number:
508-999-5598
Provider Enumeration Date:
10/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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