Provider Demographics
NPI:1912425257
Name:FOSTER, WILLIAM PATRICK (BSSW, CPST)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PATRICK
Last Name:FOSTER
Suffix:
Gender:M
Credentials:BSSW, CPST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-1675
Mailing Address - Country:US
Mailing Address - Phone:567-765-0123
Mailing Address - Fax:567-765-0124
Practice Address - Street 1:150 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-1675
Practice Address - Country:US
Practice Address - Phone:567-765-0123
Practice Address - Fax:567-765-0124
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator