Organization
JAYMIE L. FOX, PSY.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYMIE HELEN LUCKOW FOX PSY.D. (PSYCHOLOGIST)
(770) 457-5577
Entity
Organization
Contact information
Practice address
2308 PERIMETER PARK DR, SUITE 100, ATLANTA, GA 30341-1316
(770) 457-5577
Mailing address
2308 PERIMETER PARK DR, SUITE 100, ATLANTA, GA 30341-1316
(770) 457-5577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380415072A
—
GA
Enumeration date
05/19/2008
Last updated
05/22/2008
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