Doctor Name: | SCOTT LERON FOSTER |
NPI Number: | 1346522935 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | P0203012 |
Business Practice Address: | 2305 Old County Road Pocahontas, AR - 72455 |
Business Phone Number: | 8708921005 |
Business Fax Number: | 8708920078 |
Mailing Address: | 1815 Pleasant Grove Road, JONESBORO |
State: | AR |
Postal Code: | 72404 |
Phone Number: | 8709336886 |
Fax Number: | 8709339395 |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P0203012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |