Provider Demographics
NPI:1770945230
Name:FOREMAN, EVELYN E
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:E
Last Name:FOREMAN
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 1:166 E PARKWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-4609
Mailing Address - Country:US
Mailing Address - Phone:484-744-8188
Mailing Address - Fax:
Practice Address - Street 1:166 E PARKWAY AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4609
Practice Address - Country:US
Practice Address - Phone:484-744-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health