Provider Demographics
NPI:1225258411
Name:FOSTER, ROBERT RICHARD (ROBERT FOSTER, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RICHARD
Last Name:FOSTER
Suffix:
Gender:M
Credentials:ROBERT FOSTER, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SUTTER STREET
Mailing Address - Street 2:SUITE 508
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104
Mailing Address - Country:US
Mailing Address - Phone:415-387-5330
Mailing Address - Fax:415-951-7939
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:SUITE 508
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:415-387-5330
Practice Address - Fax:415-951-7939
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPF 9987103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL99870Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST