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NPI Code Detail

MEDICARE: DEIRDRE FOSTER

MEDICARE: DEIRDRE FOSTER
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
1101YP2500XProfessional CounselorPRC165DC

General Provider Information

NPI Number : 1659671550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIRDRE FOSTER
Provider Business Mailing Address
First Line : 501 ARBOR CT
Second Line :
City : EDGEWOOD
State : MD
Zip : 21040-2814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2412 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5300
Country : US
Telephone Number : 202-688-3580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 10/25/2010

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Directions to “ DEIRDRE FOSTER ” Practice Location

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