Individual provider · NPI-1

Stephen C Foster

Speech-Language Pathologist, · Kingman, AZ

NPI number1336399153
StatusActive
Last updated in NPPESSep 29, 2008

Details

NPI
1336399153
Entity type
Individual (NPI-1)
Name
Stephen C Foster
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2008
Last updated
Sep 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP0282AZYes

Practice location

3131 Western Ave
Kingman, AZ 86401-0951

Phone 928-718-0718

Mailing address

1943 Sunset Blvd
Kingman, AZ 86401-5124

Phone 928-753-1015

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