Provider Demographics
NPI:1386841955
Name:FOERSTER, PAULETTE MARIE (ACSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:MARIE
Last Name:FOERSTER
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 W MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3840
Mailing Address - Country:US
Mailing Address - Phone:314-821-3895
Mailing Address - Fax:314-821-3895
Practice Address - Street 1:8631 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1990
Practice Address - Country:US
Practice Address - Phone:314-754-2776
Practice Address - Fax:314-994-7405
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health