Organization
LINDA FOLTZ, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA FOLTZ PH.D. (PRESIDENT)
(770) 461-2520
Entity
Organization
Contact information
Practice address
1592 DRAKES DR, JONESBORO, GA 30236-5068
(770) 461-2520
Mailing address
1592 DRAKES DR, JONESBORO, GA 30236-5068
(770) 461-2520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001867
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000611421B
—
GA
01
—
68BBGDP
MEDICARE
GA
01
—
GROUP 4671
MEDICARE GROUP
GA
Enumeration date
08/09/2007
Last updated
03/31/2021
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