Provider Demographics
NPI:1194955807
Name:FOLEY, NINA (MS, CCC SLP)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MS, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4234
Mailing Address - Country:US
Mailing Address - Phone:413-320-6661
Mailing Address - Fax:
Practice Address - Street 1:2 BAY RD STE 202
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9511
Practice Address - Country:US
Practice Address - Phone:917-327-4393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist