Active NPIIndividual providerSole proprietor

Jennifer M Fox, PHD

Psychologist, Clinical in Mansfield Center, Connecticut

NPI Number1548369176
Practice location
1066 Storrs RD, Mansfield Center, CT 06268
Fax
—
Last updated
October 5, 2012

Jennifer M Fox is a Psychologist, Clinical based in Mansfield Center, CT. Jennifer M Fox practices in Mansfield Center, CT and has the professional credentials of PHD. The NPI Number for Jennifer M Fox is 1548369176 and holds a License No. 002326 (CT). The current practice location address for Jennifer M Fox is 1066 Storrs RD, Mansfield Center, CT 06268 and can be reached out via phone at 860-977-8290.

Provider Profile Details

NPI Number
1548369176
Provider Name
Jennifer M Fox
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1066 Storrs RD, Mansfield Center, CT 06268
Phone Number
860-977-8290
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- Jennifer M Park (Former Name)
Provider Enumeration Date
September 21, 2006
Last Update Date
October 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1066 Storrs RD
Mansfield Center, CT 06268
Zip
06268
Phone Number
860-977-8290
Mansfield Center, CT 06268Get directions →

Provider Business Mailing Address Details

Address
Po Box 894
1066 Storrs RD
Storrs, CT 06268-0894
City
Storrs
State
CT
Zip
06268-0894
Phone Number
860-977-8290

License Information

License Number
002326
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer M Fox, PHD?

The NPI number of Jennifer M Fox, PHD is 1548369176. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Fox, PHD?

Jennifer M Fox, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002326.

Where does Jennifer M Fox, PHD practice?

The practice location is 1066 Storrs RD, Mansfield Center, CT 06268. The office can be reached at 860-977-8290 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548369176 directly on the NPPES registry website.

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