Provider Demographics
NPI:1861821621
Name:FOLGER, MOLLY (AUD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:FOLGER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 TRESSER BLVD UNIT 405
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-3356
Mailing Address - Country:US
Mailing Address - Phone:908-723-1661
Mailing Address - Fax:
Practice Address - Street 1:2600 POST RD
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-1258
Practice Address - Country:US
Practice Address - Phone:203-256-3338
Practice Address - Fax:203-256-3346
Is Sole Proprietor?:No
Enumeration Date:2013-11-02
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00086700231H00000X
CT000696231H00000X
NY002631231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist