Healthcare Provider Details

I. General information

NPI: 1669398319
Provider Name (Legal Business Name): CATHERINE FOSTER SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9105 TREDINICK PKWY APT 1105
JACKSONVILLE FL
32211-4437
US

IV. Provider business mailing address

9105 TREDINICK PKWY APT 1105
JACKSONVILLE FL
32211-4437
US

V. Phone/Fax

Practice location:
  • Phone: 904-254-1317
  • Fax:
Mailing address:
  • Phone: 904-254-1317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8758
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: