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NPI Code Detail

MEDICARE: ERIC W FOSTER LMHC

MEDICARE: ERIC W FOSTER LMHC
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
1101YM0800XMental Health Counselor39000890AIN

General Provider Information

NPI Number : 1922172261
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC W FOSTER LMHC
Provider Business Mailing Address
First Line : 322 W JEFFERSON ST
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Provider Business Practice Location Address
First Line : 322 W JEFFERSON ST
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

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1861131740 — PAMELA ANN WHISMAN MSW, LSW
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1538957014 — KESHENA MARIE HUNTER
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Directions to “ ERIC W FOSTER LMHC” Practice Location

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