Provider Demographics
NPI:1851578330
Name:FOSTER, LUCINDA ANTHMIDES (MED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:ANTHMIDES
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 E WINCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1088
Mailing Address - Country:US
Mailing Address - Phone:480-926-3472
Mailing Address - Fax:
Practice Address - Street 1:1874 E WINCHESTER PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1088
Practice Address - Country:US
Practice Address - Phone:480-926-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-2533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional