Individual
CHRISTIAN LYNN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1805 E HOFFER ST, KOKOMO, IN 46902-2443
(765) 450-7261
(765) 450-7284
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 824-9335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006669A
STATE LICENSE
IN
Enumeration date
09/10/2020
Last updated
09/16/2020
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