| Doctor Name: | PHILIP FOLDEAK |
| NPI Number: | 1073710885 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0682 AD |
| Business Practice Address: | 229 Western Ave Brattleboro, VT - 053016589 |
| Business Phone Number: | 8022579444 |
| Business Fax Number: | |
| Mailing Address: | Po Box 60, WEST CHESTERFIELD |
| State: | NH |
| Postal Code: | 034660060 |
| Phone Number: | 6032566122 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0682 AD |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |