Individual
AUTUMN L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
103 CHURCH ST STE 12, O FALLON, MO 63366-2860
(636) 565-0227
(660) 219-9155
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015044035
MO
235Z00000X
Speech-Language Pathologist
MO2015000051
MO
Other
Enumeration date
12/15/2015
Last updated
08/02/2024
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