Provider Demographics
NPI:1770386716
Name:FOSTER, CRISTINA M
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:M
Last Name:FOSTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208D VFW PKWY APT 306
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-4368
Mailing Address - Country:US
Mailing Address - Phone:617-490-1388
Mailing Address - Fax:
Practice Address - Street 1:1208D VFW PKWY APT 306
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4368
Practice Address - Country:US
Practice Address - Phone:617-490-1388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist