Doctor Name: | MR. DANIEL V FOSTER |
NPI Number: | 1336169150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 274 |
Business Practice Address: | 400 Soldier Road Rosebud Comprehensive Hospital Rosebud, SD - 575700400 |
Business Phone Number: | 6057473265 |
Business Fax Number: | 6057475092 |
Mailing Address: | Po Box 197, Indian Health Service Rosebud Comprehensive Clinic ROSEBUD |
State: | SD |
Postal Code: | 575700197 |
Phone Number: | 6057472231 |
Fax Number: | 6057475092 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |