Provider Demographics
NPI:1578878013
Name:FOLEY, JOYCE J (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:J
Last Name:FOLEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BARROWS ST
Mailing Address - Street 2:COFFIN SCHOOL
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-3214
Mailing Address - Country:US
Mailing Address - Phone:207-319-1950
Mailing Address - Fax:
Practice Address - Street 1:46 FEDERAL ST
Practice Address - Street 2:BRUNSWICK SCHOOL DEPARTMENT
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2125
Practice Address - Country:US
Practice Address - Phone:207-319-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MESP229OtherSTATE OF MAINE LICENSE
MD00951400OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION