Basic Information
| Provider Information | |||||||||
| NPI: | 1598148082 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOSTER-CLAUDIO | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | ALICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 ESSEX ST | ||||||||
| Address2: | BOX 53 | ||||||||
| City: | S HAMILTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019822325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174171282 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12 METHUEN ST | ||||||||
| Address2: | LAHEY HEALTH BEHAVIORAL SERVICES | ||||||||
| City: | LAWRENCE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786833128 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2015 | ||||||||
| LastUpdateDate: | 07/02/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.