Provider Demographics
NPI:1740201177
Name:FOLVEN, RAYMOND (PHD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:FOLVEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 TAGGART DR
Mailing Address - Street 2:UNIT I
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5591
Mailing Address - Country:US
Mailing Address - Phone:603-888-2228
Mailing Address - Fax:603-888-2203
Practice Address - Street 1:7 TAGGART DR
Practice Address - Street 2:UNIT I
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5591
Practice Address - Country:US
Practice Address - Phone:603-888-2228
Practice Address - Fax:603-888-2203
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH870103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RE4918Medicare ID - Type Unspecified