Doctor Name: | KERI FORSTER |
NPI Number: | 1023496049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26269 |
Business Practice Address: | 3 Commercial Pl Newburgh, NY - 125505306 |
Business Phone Number: | 8452202146 |
Business Fax Number: | |
Mailing Address: | 3 Commercial Pl, NEWBURGH |
State: | NY |
Postal Code: | 125505306 |
Phone Number: | 8452202146 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 26269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |