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Individual

DR. KENT H FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
711 W 38TH ST, STE D3, AUSTIN, TX 78705-1131
(512) 797-7025
(512) 292-1144
Mailing address
711 W 38TH ST, STE D3, AUSTIN, TX 78705-1131
(512) 797-7025
(512) 292-1144

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
23772
TX
103T00000X
Psychologist
Primary
23772
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152844001
TX
Enumeration date
11/06/2006
Last updated
11/29/2017
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