Doctor Name: | LAURA ANN FOX |
NPI Number: | 1477862738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | 010300-1 |
Business Practice Address: | 1 Craig B Gariepy Ave Islip Terrace, NY - 117522820 |
Business Phone Number: | 6312242084 |
Business Fax Number: | |
Mailing Address: | 1 Craig B Gariepy Ave, ISLIP TERRACE |
State: | NY |
Postal Code: | 117522820 |
Phone Number: | 6312242084 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2010 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 010300-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |