Individual
MRS. MARY CHRISTINE FOSKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
N27W23960 PAUL RD STE 206, PEWAUKEE, WI 53072-6218
(815) 520-3141
Mailing address
N27W23960 PAUL RD STE 206, PEWAUKEE, WI 53072-6218
(815) 520-3141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3076-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861719460
—
WI
Enumeration date
04/23/2010
Last updated
03/09/2021
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