Provider Demographics
NPI:1457610909
Name:FOSTER, SUZANNE C (MSW; TX-LCSW; LCDC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:C
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW; TX-LCSW; LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 WESTHEIMER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4682
Mailing Address - Country:US
Mailing Address - Phone:713-876-4345
Mailing Address - Fax:713-592-9177
Practice Address - Street 1:5100 WESTHEIMER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4682
Practice Address - Country:US
Practice Address - Phone:713-876-4345
Practice Address - Fax:713-592-9177
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical