Provider Demographics
NPI:1831217579
Name:FOSTER, DIANA LUCILE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:LUCILE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 YELLOWSTONE AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-9310
Mailing Address - Country:US
Mailing Address - Phone:307-578-2283
Mailing Address - Fax:307-578-2920
Practice Address - Street 1:424 YELLOWSTONE AVE STE 220
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-9310
Practice Address - Country:US
Practice Address - Phone:307-578-2283
Practice Address - Fax:307-578-2920
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2718101YP2500X
WYLPC-1411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional