Provider Demographics
NPI:1982208807
Name:FOUST, SHERYL JO
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:JO
Last Name:FOUST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 HARDING HWY E
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8529
Mailing Address - Country:US
Mailing Address - Phone:740-387-1035
Mailing Address - Fax:
Practice Address - Street 1:2387 HARDING HWY E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8529
Practice Address - Country:US
Practice Address - Phone:740-387-1035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services