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NPI Code Detail

MEDICARE: HEATHER FOSTER, MFT

MEDICARE: HEATHER FOSTER, MFT
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
1106H00000XMarriage & Family Therapist43778CA

General Provider Information

NPI Number : 1699122143
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEATHER FOSTER, MFT
Provider Business Mailing Address
First Line : 5752 OBERLIN DR
Second Line : SUITE 225
City : SAN DIEGO
State : CA
Zip : 92121-1747
Country : US
Telephone Number : 619-993-5547
Fax Number : 760-529-9444
Provider Business Practice Location Address
First Line : 5752 OBERLIN DR
Second Line : SUITE 225
City : SAN DIEGO
State : CA
Zip : 92121-1747
Country : US
Telephone Number : 619-993-5547
Fax Number : 760-529-9444
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : MR. IAN FOSTER
Credential :
Telephone Number : 619-993-5547
Provider Enumeration Date : 05/14/2016
Last Update Date : 06/01/2016

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Directions to “HEATHER FOSTER, MFT ” Practice Location

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