Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | LPC008940 | GA |
Y | 101YP2500X | Professional Counselor | PC003777 | PA |
NPI | 1003907924 |
---|---|
Provider Name | Dr. Jennifer L Foust |
First Address | Philadelphia, PA 19106-3763 |
Second Address | Philadelphia, PA 19106-3763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 03/12/2017 |