Provider Demographics
NPI:1548255771
Name:FOSTER, HELEN MONTAGUE (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MONTAGUE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:MONTAGUE
Other - Last Name:PRICHARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2004 BREMO RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2442
Mailing Address - Country:US
Mailing Address - Phone:804-282-4004
Mailing Address - Fax:804-282-4001
Practice Address - Street 1:2004 BREMO RD
Practice Address - Street 2:SUITE 106
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2442
Practice Address - Country:US
Practice Address - Phone:804-282-4004
Practice Address - Fax:804-282-4001
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010359132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
107185OtherANTHEM
C36545Medicare UPIN