Individual
DR. LISA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
630 GRAMATAN AVE, 4K, MOUNT VERNON, NY 10552-1840
(917) 687-5287
Mailing address
3824 BARRETT DR, 4K, RALEIGH, NC 27609-7220
(917) 687-5287
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
019044
NY
Other
Enumeration date
05/17/2011
Last updated
06/20/2016
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