Provider Demographics
NPI:1619657723
Name:FOSTER, CHERI LYNNE (M ED)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:LYNNE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BILLUPS FRK
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-6652
Mailing Address - Country:US
Mailing Address - Phone:606-465-1407
Mailing Address - Fax:
Practice Address - Street 1:154 BILLUPS FRK
Practice Address - Street 2:
Practice Address - City:GREENUP
Practice Address - State:KY
Practice Address - Zip Code:41144-6652
Practice Address - Country:US
Practice Address - Phone:606-465-1407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner