Provider Demographics
NPI:1316204589
Name:FOSTER, GALE ANN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:GALE
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2604
Mailing Address - Country:US
Mailing Address - Phone:412-983-8017
Mailing Address - Fax:
Practice Address - Street 1:4284 WILLIAM FLYNN HWY
Practice Address - Street 2:CASTELTOWN SQUARE SOUTH, SUITE 201
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:412-486-2948
Practice Address - Fax:412-486-5676
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123410104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker