Provider Demographics
NPI:1891826046
Name:FOX, PAMELA B (MS)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:B
Last Name:FOX
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 CHAPMANSBORO RD
Mailing Address - Street 2:
Mailing Address - City:CHAPMANSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37035
Mailing Address - Country:US
Mailing Address - Phone:615-522-8476
Mailing Address - Fax:
Practice Address - Street 1:633 THOMPSON LANE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204
Practice Address - Country:US
Practice Address - Phone:615-460-4430
Practice Address - Fax:615-460-4432
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health