Provider Demographics
NPI:1477255594
Name:FOLEY, DANIELLE AMANDA
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:AMANDA
Last Name:FOLEY
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 1:30 UPHAM ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2454
Mailing Address - Country:US
Mailing Address - Phone:978-235-1667
Mailing Address - Fax:
Practice Address - Street 1:30 UPHAM ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2454
Practice Address - Country:US
Practice Address - Phone:978-235-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1922174226Medicaid