Male or Other

Dr. Dale S. Foster PH.D.

Full Name

Dr. Dale S Foster PH.D.

NPI Number

1568444511

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/16/2005

Specialties

(Taxonomies)

Code

103G00000X
103TC0700X

Primary Taxonomy

No
No

Licenses

State

Tennessee

License Number

P-1439

Contact
Information

Purpose

Mailing
Location

Address

758 WALNUT KNOLL LN
758 WALNUT KNOLL LN

City

Cordova
Cordova

State

TN
TN

Postal Code

38018-3112
38018-3112

Country

US
US

Telephone Number

(901) 624-0100
(901) 624-0100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address