Provider Demographics
NPI:1699135715
Name:FOUNDATIONS THERAPY SERVICES
Entity type:Organization
Organization Name:FOUNDATIONS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:925-513-2440
Mailing Address - Street 1:11 EUCALYPTUS CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-3960
Mailing Address - Country:US
Mailing Address - Phone:925-785-1776
Mailing Address - Fax:
Practice Address - Street 1:101 CONTINENTE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513
Practice Address - Country:US
Practice Address - Phone:925-513-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUNDATIONS THERAPY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9782235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty