Basic Information
| Provider Information | |||||||||
| NPI: | 1447326145 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | EMILE | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | MSW GSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2049 MAHARRY DR | ||||||||
| Address2: | |||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700724511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043498891 | ||||||||
| FaxNumber: | 5043710222 | ||||||||
| Practice Location | |||||||||
| Address1: | 5001 WESTBANK EXPY | ||||||||
| Address2: | |||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700722922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043498891 | ||||||||
| FaxNumber: | 5043710222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 9190 | LA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.