Provider Demographics
NPI:1407625833
Name:FOREMAN, AMBER HOPE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:HOPE
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 CRACKWILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-0028
Mailing Address - Country:US
Mailing Address - Phone:251-768-8584
Mailing Address - Fax:
Practice Address - Street 1:564 CRACKWILLOW AVE
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-0028
Practice Address - Country:US
Practice Address - Phone:251-768-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008342103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical