Most Relevant Information
Provider Data
| NPI Number: | 1003176041 |
| Provider Name: | TIFFANY FOSTER PHD, LCAS-A |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2012 |
| Last Updated: | 10/11/2012 |
Provider Practice Location
25350 US HIGHWAY 19 N
#286
CLEARWATER
FL
337632146
Practice Location Phone/Fax
| Phone: | 9196333797 |
| Fax: |
Provider Mailing Location
25350 US HIGHWAY 19 N
#286
CLEARWATER
FL
337632146
Provider Mailing Phone/Fax
| Phone: | 9196333797 |
| Fax: |