Provider Demographics
NPI:1669857033
Name:FOSTER SPRINGER, BRONSYN BETH (MS)
Entity Type:Individual
Prefix:
First Name:BRONSYN
Middle Name:BETH
Last Name:FOSTER SPRINGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 NW LOFALL RD
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9207
Mailing Address - Country:US
Mailing Address - Phone:360-286-1324
Mailing Address - Fax:
Practice Address - Street 1:606 NW LOFALL RD
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9207
Practice Address - Country:US
Practice Address - Phone:360-286-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist