Provider Demographics
NPI:1427196468
Name:FOULKES, CLAUDIA JANE (MS, CCC, SLP)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:JANE
Last Name:FOULKES
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2717
Mailing Address - Country:US
Mailing Address - Phone:502-939-4129
Mailing Address - Fax:502-894-9155
Practice Address - Street 1:171 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2717
Practice Address - Country:US
Practice Address - Phone:502-939-4129
Practice Address - Fax:502-894-9155
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01243OtherFIRST STEPS PROVIDER