Doctor Name: | MS. LAURA FOX |
NPI Number: | 1114110038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 078665-1 |
Business Practice Address: | 368 S Oyster Bay Rd Hicksville, NY - 118013508 |
Business Phone Number: | 5166802701 |
Business Fax Number: | |
Mailing Address: | 58 Beatrice Ln, OLD BETHPAGE |
State: | NY |
Postal Code: | 118041002 |
Phone Number: | 5166943557 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 04/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 078665-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |