Provider Demographics
NPI:1568683225
Name:FOSTER, ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:FOSTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11303 AMHERST AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2561
Mailing Address - Country:US
Mailing Address - Phone:240-338-6163
Mailing Address - Fax:301-880-0081
Practice Address - Street 1:11303 AMHERST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4600
Practice Address - Country:US
Practice Address - Phone:240-338-6163
Practice Address - Fax:301-880-0081
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000380103T00000X
MD04295103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist