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Individual

CHARLES JOSEPH FOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
42525 DE PORTOLA RD, TEMECULA, CA 92592
(951) 302-3336
(951) 302-3337
Mailing address
42525 DE PORTOLA RD, TEMECULA, CA 92592
(951) 302-3336
(951) 302-3337

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5039
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00PL50390
BLUE SHIELD
CA
05
PSY50390
CA
Enumeration date
11/08/2006
Last updated
07/08/2007
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