| Doctor Name: | MS. MAURA D FOX |
| NPI Number: | 1003190984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.CCC-SLP,NBCT |
| License Number: | 58-005987 |
| Business Practice Address: | 1153 Burgoyne Ave Suite 2 Fort Edward, NY - 128281135 |
| Business Phone Number: | 5185813605 |
| Business Fax Number: | |
| Mailing Address: | 5 Madison St, GLENS FALLS |
| State: | NY |
| Postal Code: | 128013023 |
| Phone Number: | 5187916342 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 58-005987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |