MEDICARE: DR. TERRY E. FOUST AU. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	1129549937	UT
2	235Z00000X	Speech-Language Pathologist	1129549937	UT

General Provider Information

NPI Number	:	1063626570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY E. FOUST AU. D.

Provider Business Mailing Address
First Line	:	351 PINE COVE LN
Second Line	:
City	:	KAYSVILLE
State	:	UT
Zip	:	84037-2405
Country	:	US
Telephone Number	:	801-546-0442
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1401
Country	:	US
Telephone Number	:	801-442-3029
Fax Number	:	801-442-3826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	09/11/2025

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