Provider Demographics
NPI:1073842498
Name:FOSTER, MICHAEL FAY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:FAY
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8704 YATES DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6950
Mailing Address - Country:US
Mailing Address - Phone:720-280-9272
Mailing Address - Fax:
Practice Address - Street 1:8704 YATES DR
Practice Address - Street 2:SUITE 205
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6950
Practice Address - Country:US
Practice Address - Phone:720-280-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional