Provider Demographics
NPI:1033205430
Name:FOLEY, GLORIA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:L
Last Name:FOLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 WOODROW STREET
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1733
Mailing Address - Country:US
Mailing Address - Phone:512-476-0260
Mailing Address - Fax:512-223-3408
Practice Address - Street 1:3509 WOODROW STREET
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1733
Practice Address - Country:US
Practice Address - Phone:512-476-0260
Practice Address - Fax:512-223-3408
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23235103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist