Provider Demographics
NPI:1427596782
Name:COX, BRIANA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 GREGORY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3722
Mailing Address - Country:US
Mailing Address - Phone:973-736-1446
Mailing Address - Fax:
Practice Address - Street 1:75 S ORANGE AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1759
Practice Address - Country:US
Practice Address - Phone:973-763-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00486200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical