Healthcare Provider Details
I. General information
NPI: 1255930749
Provider Name (Legal Business Name): CHELSEY BARRIOS FOSTER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/26/2020
Last Update Date: 10/08/2023
Certification Date: 10/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5225 WISCONSIN AVE NW STE 400
WASHINGTON DC
20015-2055
US
IV. Provider business mailing address
11320 ROUEN DR
POTOMAC MD
20854-3126
US
V. Phone/Fax
- Phone: 202-363-1010
- Fax:
- Phone: 203-824-3354
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 06381 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 0810007254 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY200001283 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: