Organization Name: | MURIEL FOX, PHD, PA |
NPI Number: | 1104103688 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MURIEL FOX (PSYCHOLOGIST) |
Mailing Address: | 58 Sagamore Rd Millburn |
State: | NJ US |
Postal Code: | 070412102 |
Phone Number: | 9737633694 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2011 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 35SI00012700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |