Foster, Mary Kristin
Foster, Mary Kristin is an individual health care provider with primary practice located at 30 E Apple St Ste 6254, Dayton OH 45409-2939. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Foster, Mary Kristin can be contacted via phone (937) 208-2554.Contact Information
Primary practice address
30 E Apple St Ste 6254
Dayton OH 45409-2939
Phone: (937) 208-2554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 003250 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003250 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7273 | Ohio |
Profile Details
| NPI number | 1982847364 |
|---|---|
| LBN Legal business name | Foster, Mary Kristin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Oct 17th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982847364 | NPPES |
| Connecticut | MEDICAID | 008032500 | |
| Connecticut | MEDICAID | 0121410 |
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