Healthcare Provider Details
I. General information
NPI: 1699337691
Provider Name (Legal Business Name): FOSTER THEIR VOICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2019
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1027 SHADY LN
JACKSON MO
63755-2649
US
IV. Provider business mailing address
1027 SHADY LN
JACKSON MO
63755-2649
US
V. Phone/Fax
- Phone: 618-335-1805
- Fax:
- Phone: 618-335-1805
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
PARTRIDGE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 618-335-1805