MEDICARE: DR. ROBERT FOSTER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY1000380	DC
2	103T00000X	Psychologist	04295	MD

General Provider Information

NPI Number	:	1568683225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FOSTER PH.D.

Provider Business Mailing Address
First Line	:	11303 AMHERST AVENUE
Second Line	:	SUITE 1
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2561
Country	:	US
Telephone Number	:	240-338-6163
Fax Number	:	301-880-0081

Provider Business Practice Location Address
First Line	:	11303 AMHERST AVE
Second Line	:	SUITE 1
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4600
Country	:	US
Telephone Number	:	240-338-6163
Fax Number	:	301-880-0081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	01/06/2012

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Directions to “ DR. ROBERT FOSTER PH.D.” Practice Location

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