Provider Demographics
NPI:1275759110
Name:FOLTS, BARBARA KATHRYN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KATHRYN
Last Name:FOLTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FOXCROFT DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3205
Mailing Address - Country:US
Mailing Address - Phone:215-348-2534
Mailing Address - Fax:215-348-7288
Practice Address - Street 1:275 S MAIN ST
Practice Address - Street 2:SUITE 10
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4815
Practice Address - Country:US
Practice Address - Phone:215-348-2292
Practice Address - Fax:215-348-7288
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004578-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
93467OtherUSHEALTHCARE
RO5883Medicare UPIN