Organization Name: | FOX REHAB SLP CT LLC |
NPI Number: | 1588918569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY FOX (PRESIDENT) |
Mailing Address: | 44 Old Ridgefield Road Suite 213 Wilton |
State: | CT US |
Postal Code: | 068973014 |
Phone Number: | 8774073422 |
Fax Number: | 8774074329 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |