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DR. MARY KRISTIN FOSTER PH.D.

Clinical Neuropsychologist

Dayton, Ohio

Provider NPI: 1982847364

Provider Information:
DR. MARY KRISTIN FOSTER PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
30 E APPLE ST STE 6254 DAYTON, OH 45409 US
Tel: 937-208-2554  Fax: --

Business Mailing Address:
30 E APPLE ST STE 6254 DAYTON, OH 45409 US
Tel: 937-208-2554  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CT003250
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
OH7273
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
CT003250
N390200000XStudent
Organized Health Care Education/Training Program

Other Provider Identifiers:

IssuerNumberStateType
008032500CT05
0121410OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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