Provider Demographics
NPI:1891488805
Name:FOLEY, DAVID MARK (PHD, PMHNP, MSN, MPA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARK
Last Name:FOLEY
Suffix:
Gender:M
Credentials:PHD, PMHNP, MSN, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 WILLIAM CIR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4866
Mailing Address - Country:US
Mailing Address - Phone:440-334-0414
Mailing Address - Fax:
Practice Address - Street 1:1505 WILLIAM CIR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4866
Practice Address - Country:US
Practice Address - Phone:440-334-0414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033387363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health