| Dr Christine Foskett Llc | |
|
N27w23960 Paul Rd Ste 206 Pewaukee WI 53072-6218 | |
| (815) 520-3141 | |
| Not Available |
| Full Name | Dr Christine Foskett Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | N27w23960 Paul Rd Ste 206, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Mary Christine Foskett (DR. OF CLINICAL PSYCHOLOGY) |
| Authorized Official Contact | 6088411442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christine Foskett Llc N27w23960 Paul Rd Ste 206 Pewaukee WI 53072-6218 Ph: (815) 520-3141 | Dr Christine Foskett Llc N27w23960 Paul Rd Ste 206 Pewaukee WI 53072-6218 Ph: (815) 520-3141 |
| NPI Number | 1689117202 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 0345520607 |
|---|---|
| Medicare Enrollment ID | O20161205000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689117202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3076-57 (Wisconsin) | Primary |
| Provider Name | Mary C Foskett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861719460 PECOS PAC ID: 4082855937 Enrollment ID: I20130719000052 |
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