Provider Demographics
NPI:1346564838
Name:FOX, BEVERLY C (MS, CACD)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:C
Last Name:FOX
Suffix:
Gender:F
Credentials:MS, CACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 W DEKALB PIKE
Mailing Address - Street 2:APARTMENT 401
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3058
Mailing Address - Country:US
Mailing Address - Phone:610-733-3354
Mailing Address - Fax:
Practice Address - Street 1:570 W DEKALB PIKE
Practice Address - Street 2:APARTMENT 401
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3058
Practice Address - Country:US
Practice Address - Phone:610-733-3354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health