Individual
MEGHAN LEAH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1580 ELMWOOD AVE STE D, ROCHESTER, NY 14620-3620
(585) 633-8758
Mailing address
156 VALLEY RD, ROCHESTER, NY 14618-2510
(585) 633-8758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022822
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022822
NEW YORK STATE EDUCATION DEPARTMENT
NY
05
—
05445827
—
NY
01
—
MH 11490
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
08/31/2011
Last updated
03/22/2019
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