Provider Demographics
NPI:1538575659
Name:FOSTER, WENDY (CMHC)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 NORTH 200 EAST
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010
Mailing Address - Country:US
Mailing Address - Phone:801-540-6330
Mailing Address - Fax:801-779-7808
Practice Address - Street 1:2363 NORTH HILLFIELD RD.
Practice Address - Street 2:STE #6
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-540-6330
Practice Address - Fax:801-779-7808
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9248986-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health