Individual
DR. MOYA TIKO FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4600 EMPEROR BLVD, STE. 200, DURHAM, NC 27703-8577
(919) 651-8416
(919) 651-8672
Mailing address
4600 EMPEROR BLVD, STE. 200, DURHAM, NC 27703-8577
(919) 794-1455
(919) 361-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3349
NC
Other
Enumeration date
01/12/2007
Last updated
03/14/2014
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