Healthcare Provider Details

I. General information

NPI: 1871002881
Provider Name (Legal Business Name): FOX THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31822 VILLAGE CENTER RD STE 107
WESTLAKE VILLAGE CA
91361-4329
US

IV. Provider business mailing address

31822 VILLAGE CENTER RD STE 107
WESTLAKE VILLAGE CA
91361-4329
US

V. Phone/Fax

Practice location:
  • Phone: 818-532-7884
  • Fax: 805-309-5209
Mailing address:
  • Phone: 818-532-7884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number17514
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSIE FOX BLOIS
Title or Position: SPEECH LANGUAGE PATHOLGIST/ OWNER
Credential: M.A., CCC-SLP
Phone: 805-551-2441