Individual
JENNIFER M FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1066 STORRS RD, MANSFIELD CENTER, CT 06268
(860) 977-8290
Mailing address
PO BOX 894, 1066 STORRS RD, STORRS, CT 06268-0894
(860) 977-8290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002326
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002326CT01
ANTHEM
CT
01
—
217951
UNITED BEH HEALTH
—
Enumeration date
09/21/2006
Last updated
10/05/2012
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