Provider Demographics
NPI:1124357579
Name:TAWNYA S. FOSTER, PSY.D., LLC
Entity Type:Organization
Organization Name:TAWNYA S. FOSTER, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAWNYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:614-638-5195
Mailing Address - Street 1:136 SHEFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2543
Mailing Address - Country:US
Mailing Address - Phone:614-638-5195
Mailing Address - Fax:
Practice Address - Street 1:11 W COOKE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3068
Practice Address - Country:US
Practice Address - Phone:614-638-5195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5605103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty