Individual
DR. PHILLIP ARTHUR FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704-6071
(309) 706-3190
(309) 588-4115
Mailing address
808 ELDORADO SUITE 102, BLOOMINGTON, IL 61704
(309) 706-3190
(309) 588-4115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180000680
IL
103TC0700X
Clinical Psychologist
Primary
071007538
IL
Other
Enumeration date
01/29/2007
Last updated
11/29/2011
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