Individual
DR. MARY KRISTIN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 E APPLE ST, STE 6254, DAYTON, OH 45409-2939
(937) 208-2554
Mailing address
30 E APPLE ST, STE 6254, DAYTON, OH 45409-2939
(937) 208-2554
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
003250
CT
103TC0700X
Clinical Psychologist
003250
CT
103TC0700X
Clinical Psychologist
Primary
7273
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032500
—
CT
05
—
0121410
—
OH
Enumeration date
04/14/2009
Last updated
10/17/2015
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