Provider Demographics
NPI:1396108148
Name:HILLARY FOSTER, MFT
Entity type:Organization
Organization Name:HILLARY FOSTER, MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT
Authorized Official - Prefix:
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:949-500-5464
Mailing Address - Street 1:4132 KATELLA AVE
Mailing Address - Street 2:SUITE 101 A
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3426
Mailing Address - Country:US
Mailing Address - Phone:949-500-5464
Mailing Address - Fax:562-493-0776
Practice Address - Street 1:4132 KATELLA AVE
Practice Address - Street 2:SUITE 101 A
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3426
Practice Address - Country:US
Practice Address - Phone:949-500-5464
Practice Address - Fax:562-493-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38166251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health