Individual
DR. TIMOTHY D FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 N RING AVE, SUITE 200, TARPON SPRINGS, FL 34689-4224
(727) 944-3600
Mailing address
30 N RING AVE, SUITE 200, TARPON SPRINGS, FL 34689-4224
(727) 944-3600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2203
FL
174400000X
Specialist
PY2203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73592
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/18/2006
Last updated
01/06/2020
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