Provider Demographics
NPI:1437800034
Name:FOYE, PHYLLIS BETHEA
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:BETHEA
Last Name:FOYE
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 1:165 BUCYRUS DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1948
Mailing Address - Country:US
Mailing Address - Phone:716-553-2579
Mailing Address - Fax:
Practice Address - Street 1:165 BUCYRUS DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1948
Practice Address - Country:US
Practice Address - Phone:716-553-2579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6352000644103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical