Individual
DR. SHANTEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4646 JOHN R ST, MH 11, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, MH 11, DETROIT, MI 48201-1916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1224
SC
103TC0700X
Clinical Psychologist
Primary
6301015182
MI
Other
Enumeration date
07/10/2013
Last updated
08/05/2015
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