Provider Demographics
NPI:1174727598
Name:FOSTER, JENNIFER ANNE (BA PSCHOLOGY)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANNE
Last Name:FOSTER
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Gender:F
Credentials:BA PSCHOLOGY
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Mailing Address - Street 1:1511 LA BONITA AVE APT D
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-1155
Mailing Address - Country:US
Mailing Address - Phone:714-392-1975
Mailing Address - Fax:
Practice Address - Street 1:822 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4712
Practice Address - Country:US
Practice Address - Phone:714-547-7559
Practice Address - Fax:714-543-4431
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health