Provider Demographics
NPI:1174130934
Name:FOSTER, SAMANTHA EARL (LMFT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:EARL
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 E COLORADO BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2337
Mailing Address - Country:US
Mailing Address - Phone:626-600-8919
Mailing Address - Fax:
Practice Address - Street 1:959 E COLORADO BLVD STE 220
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2337
Practice Address - Country:US
Practice Address - Phone:626-600-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145708106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist