Provider Demographics
NPI:1518159912
Name:COX, PATTI L (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 8TH AVE
Mailing Address - Street 2:#5-O
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5704
Mailing Address - Country:US
Mailing Address - Phone:212-252-4737
Mailing Address - Fax:
Practice Address - Street 1:888 8TH AVE
Practice Address - Street 2:#5-O
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5704
Practice Address - Country:US
Practice Address - Phone:212-252-4737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015717103TC0700X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy