| Doctor Name: | DR. MARY M. FOX |
| NPI Number: | 1003913732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 4398 |
| Business Practice Address: | 2400 Mission St San Marino, CA - 911081632 |
| Business Phone Number: | 6264038999 |
| Business Fax Number: | 6264038989 |
| Mailing Address: | 2400 Mission St, SAN MARINO |
| State: | CA |
| Postal Code: | 911081632 |
| Phone Number: | 6264038999 |
| Fax Number: | 6264038989 |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 02/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4398 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |