Provider Demographics
NPI:1063851541
Name:FOSTER, DEBRA (PLMHP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PLMHP, NCC
Mailing Address - Street 1:PO BOX 34309
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-0309
Mailing Address - Country:US
Mailing Address - Phone:402-706-1228
Mailing Address - Fax:
Practice Address - Street 1:9300 UNDERWOOD AVE STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2685
Practice Address - Country:US
Practice Address - Phone:402-706-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health