Healthcare Provider Details

I. General information

NPI: 1033759857
Provider Name (Legal Business Name): SHONNA D FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 PARLIAMENT PL STE A
LANHAM MD
20706-1868
US

IV. Provider business mailing address

PO BOX 1035
CLINTON MD
20735-5035
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-4333
  • Fax:
Mailing address:
  • Phone: 240-316-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLG200004444
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: