| Doctor Name: | DENISE FOSTER |
| NPI Number: | 1225384100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 018648 |
| Business Practice Address: | 476 Christian Herald Rd Valley Cottage, NY - 109892230 |
| Business Phone Number: | 8452686861 |
| Business Fax Number: | 8452682712 |
| Mailing Address: | 303 Merrick Rd, Suite 204 LYNBROOK |
| State: | NY |
| Postal Code: | 115632501 |
| Phone Number: | 8007256280 |
| Fax Number: | 8007256380 |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 018648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |