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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HOMER E. FOUTY JR., PH.D.

Active Sole Proprietor

DR. HOMER E. FOUTY JR., PH.D. is a Clinical Psychologist healthcare provider located in DAYTONA BEACH, Florida. NPI 1891732632 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · DAYTONA BEACH, FL

Registration Details

NPI Number
1891732632
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2006 (20.250699258299 yrs)
Last Updated
Mar 29, 2018
Licenses
PY5097 (FL)
PY5097 (FL)
Sole Proprietor
Yes

Practice Information

Address
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL, 321175167
Browse FL providers · Browse ZIP 32117
Phone
3862311000
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in DAYTONA BEACH, FL

Name Credential NPI
DR. GAIL H. NELSON PH.D. 1295789071
DR. DESIREE LORRAINE KING PSY.D. 1215289970
DR. MANJOT DHOOPER LEAFGREEN PHD 1558791087
DR. STACEY POLOTT 1598156028
DR. TRACII KUNKEL 1811445554
ANDREA GOCKLEY PSYD 1902310295
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.