Dale S Foster, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P-1439 Issued in TN

Practice address

758 Walnut Knoll LN
Suite 101
Cordova, TN 38018-3112

Phone

(901) 624-0100

Fax

(901) 624-0778

NPI assigned

Nov 16, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memphis Integral Neurofeedback Institute LLC

  • Psychologist
  • Cordova, TN
  • NPI 1043639818
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568444511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 WALNUT KNOLL LN",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183112",
            "telephone_number": "901-624-0100",
            "fax_number": "901-624-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 WALNUT KNOLL LN",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183112",
            "telephone_number": "901-624-0100",
            "fax_number": "901-624-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DALE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "P-1439",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P-1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Forrest
• Tekita Vonshia Forrest, M.S
• Katherine N Forsdick, DNP
• Tori Fortner, OTR/L
• Carolyn Russell Foster, R.D.
• Jennifer Franklin
• Agnes Coughlin Fratta, FNP
• Bria Frazier
• Jalissa Fredrick
• Kayla Freeman

• Clinical Psychologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.