Provider Demographics
NPI:1245396340
Name:FOX, MINDY (MFT)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:FOX
Other - Last Name:SACHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:3820 DEL AMO BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2150
Mailing Address - Country:US
Mailing Address - Phone:310-314-6933
Mailing Address - Fax:801-937-5137
Practice Address - Street 1:3820 DEL AMO BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2150
Practice Address - Country:US
Practice Address - Phone:310-314-6933
Practice Address - Fax:801-937-5137
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31673106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist