Provider Demographics
NPI:1447549084
Name:FOSTERING COMMUNICATION
Entity type:Organization
Organization Name:FOSTERING COMMUNICATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWNYALE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-442-7608
Mailing Address - Street 1:5114 YADKIN RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-6012
Mailing Address - Country:US
Mailing Address - Phone:910-442-7608
Mailing Address - Fax:910-864-1092
Practice Address - Street 1:5114 YADKIN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-6012
Practice Address - Country:US
Practice Address - Phone:910-442-7608
Practice Address - Fax:910-864-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7413349Medicaid