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Contact Information

JENNIFER M FOX, PHD
1066 STORRS RD
MANSFIELD CENTER, CT06268
 Phone: 860-977-8290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER M FOX · (Female)

NPI Number 1548369176
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/21/2006
Last updated 10/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002326
  • Other 217951 UNITED BEH HEALTH
  • CT Other 060002326CT01 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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