Foster, Dominic D

Foster, Dominic D is an individual health care provider with primary practice located at 1717 Taylor Ave , Racine WI 53403-2405. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Foster, Dominic D can be contacted via phone (262) 638-6744.

Contact Information

Primary practice address
1717 Taylor Ave Racine WI 53403-2405
Phone: (262) 638-6744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Wisconsin

Profile Details

NPI number 1104309574
LBN Legal business name Foster, Dominic D
Credentials LPC-IT, SACIT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Sep 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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