Doctor Name: | MRS. PEGGY LEIGH FOX |
NPI Number: | 1245536788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 072787 |
Business Practice Address: | 75 Chestnut Street Fredonia, NY - 14063 |
Business Phone Number: | 7163669300 |
Business Fax Number: | 7163669355 |
Mailing Address: | 75 Chestnut Street, FREDONIA |
State: | NY |
Postal Code: | 14063 |
Phone Number: | 7163669300 |
Fax Number: | 7163669355 |
NPI Enumeration Date: | 02/01/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 072787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |