Individual
FOSTER C COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
6150 OREN AVE N, MAIL CODE 14001A, STILLWATER, MN 55082-6173
(651) 430-1668
(651) 430-0177
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0228
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357852600
—
MN
Enumeration date
02/10/2006
Last updated
09/24/2014
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