Individual
ROBERT W FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
568 LOVELL LAKE RD, SANBORNVILLE, NH 03872-4711
(603) 387-0803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
889
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609427Y0NH01
ANTHEM
NH
01
—
889986A
MVP HEALTHCARE
NV
Enumeration date
01/17/2007
Last updated
07/08/2007
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