Individual
JACQUELINE D. FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13400 RIVERSIDE DR, SUITE 318, SHERMAN OAKS, CA 91423-2500
(818) 469-2923
Mailing address
PO BOX 5104, CHATSWORTH, CA 91313-5104
(818) 469-2923
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
13884
CA
103TB0200X
Cognitive & Behavioral Psychologist
13884
CA
Other
Enumeration date
01/31/2014
Last updated
11/23/2021
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