Provider Demographics
NPI:1770818932
Name:COX, BIRGIT GENOVEVA (PHD)
Entity Type:Individual
Prefix:DR
First Name:BIRGIT
Middle Name:GENOVEVA
Last Name:COX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BIRGIT
Other - Middle Name:GENOVEVA
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:17736 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1109
Mailing Address - Country:US
Mailing Address - Phone:240-778-4718
Mailing Address - Fax:240-454-9476
Practice Address - Street 1:17736 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-1109
Practice Address - Country:US
Practice Address - Phone:240-778-4718
Practice Address - Fax:240-454-9476
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional