| Doctor Name: | DR. SANDRA WADDILL FOSTER |
| NPI Number: | 1023076114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 4537 |
| Business Practice Address: | 151 S High St Cortland, OH - 444101450 |
| Business Phone Number: | 3306386121 |
| Business Fax Number: | 3306387088 |
| Mailing Address: | 151 S High St, CORTLAND |
| State: | OH |
| Postal Code: | 444101450 |
| Phone Number: | 3306386121 |
| Fax Number: | 3306387088 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 07/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 4537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |