Provider Demographics
NPI:1083811889
Name:FOSTER, DOROTHY JEAN (MS PSYCHOLOGY)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:JEAN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 771461
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-1461
Mailing Address - Country:US
Mailing Address - Phone:907-696-2646
Mailing Address - Fax:907-561-7093
Practice Address - Street 1:4045 LAKE OTIS PARKWAY SUITE101
Practice Address - Street 2:ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-762-2856
Practice Address - Fax:907-561-7093
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AKAA 382103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily