Provider Demographics
NPI:1538311584
Name:FOX, PAMELA D (MS, MED, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:D
Last Name:FOX
Suffix:
Gender:F
Credentials:MS, MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1329
Mailing Address - Country:US
Mailing Address - Phone:845-353-5462
Mailing Address - Fax:845-353-6090
Practice Address - Street 1:2 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1329
Practice Address - Country:US
Practice Address - Phone:845-353-5462
Practice Address - Fax:845-353-6090
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005051-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist