Doctor Name: | MS. MARY ANN FORSTER |
NPI Number: | 1013078658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 44SC04336500 |
Business Practice Address: | 101 Park St Montclair, NJ - 070422963 |
Business Phone Number: | 2015034943 |
Business Fax Number: | |
Mailing Address: | 111 Arnot Pl, WOOD RIDGE |
State: | NJ |
Postal Code: | 070751426 |
Phone Number: | 2015034943 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC04336500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |