Individual
DR. PAUL S FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2751 SW 120TH TER, GAINESVILLE, FL 32608-0143
(954) 755-0221
Mailing address
2751 SW 120TH TER, GAINESVILLE, FL 32608-0143
(954) 755-0221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650266112
TAX ID
FL
Enumeration date
05/13/2007
Last updated
01/06/2022
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