Individual
DIANA G FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1095 S MAIN ST, CHESHIRE, CT 06410-3432
(203) 271-3809
(203) 272-6968
Mailing address
1095 S MAIN ST, CHESHIRE, CT 06410-3432
(203) 271-3809
(203) 272-6968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002521
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002521CT01
ANTHEM BLUE CROSS
CT
Enumeration date
08/22/2006
Last updated
07/08/2007
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