| Dr Keith T Foster Phd Pa | |
|
49 Old Solomons Island Rd Ste 200 Annapolis MD 21401-3864 | |
| (239) 293-0057 | |
| (410) 266-5328 |
| Full Name | Dr Keith T Foster Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 49 Old Solomons Island Rd Ste 200, Annapolis, Maryland |
| Authorized Official Name and Position | Keith Thomas Foster (OWNER) |
| Authorized Official Contact | 2392930057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith T Foster Phd Pa 49 Old Solomons Island Rd Ste 200 Annapolis MD 21401-3864 Ph: (239) 293-0057 | Dr Keith T Foster Phd Pa 49 Old Solomons Island Rd Ste 200 Annapolis MD 21401-3864 Ph: (239) 293-0057 |
| NPI Number | 1649556101 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Medicare PECOS PAC ID | 4284891177 |
|---|---|
| Medicare Enrollment ID | O20120203000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649556101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Keith T Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396728960 PECOS PAC ID: 8921993932 Enrollment ID: I20120712000379 |
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