Healthcare Provider Details

I. General information

NPI: 1326732728
Provider Name (Legal Business Name): BRITTANY FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6056
US

IV. Provider business mailing address

699 SCHOOL AVE
WEST JEFFERSON NC
28694-8048
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-7280
  • Fax:
Mailing address:
  • Phone: 828-803-2735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: