Provider Demographics
NPI:1982113098
Name:FOX THERAPY SERVICES
Entity Type:Organization
Organization Name:FOX THERAPY SERVICES
Other - Org Name:FOX SPEECH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SLP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:805-551-2441
Mailing Address - Street 1:7106 OSWEGO CT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-5082
Mailing Address - Country:US
Mailing Address - Phone:805-551-2441
Mailing Address - Fax:
Practice Address - Street 1:2660 TOWNSGATE RD STE 740A
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5704
Practice Address - Country:US
Practice Address - Phone:805-328-3434
Practice Address - Fax:805-309-5209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17514261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech