Basic Information
Provider Information
NPI: 1730115726
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOLEY
FirstName: JULIE
MiddleName: CHRISTINE
NamePrefix:  
NameSuffix:  
Credential: M.AUD. CCC-A, FAAA
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 228 BRANCHVIEW DR
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292297739
CountryCode: US
TelephoneNumber: 8038651441
FaxNumber:  
Practice Location
Address1: 6439 GARNERS FERRY RD
Address2: DORN VAMC, AUDIOLOGY (126)
City: COLUMBIA
State: SC
PostalCode: 292091638
CountryCode: US
TelephoneNumber: 8036956810
FaxNumber: 8036957908
Other Information
ProviderEnumerationDate: 06/23/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X1084SCY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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