| Doctor Name: | MS. NICOLE E FOX |
| NPI Number: | 1720235765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC/SLP |
| License Number: | 24200099 |
| Business Practice Address: | 2001 W Willow Knolls Dr Suite 106 Peoria, IL - 616141290 |
| Business Phone Number: | 3096899920 |
| Business Fax Number: | 3096899923 |
| Mailing Address: | 252 E Washington St, EAST PEORIA |
| State: | IL |
| Postal Code: | 616112561 |
| Phone Number: | 3092826704 |
| Fax Number: | 3093872340 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 24200099 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |