Provider Demographics
NPI:1205236163
Name:FOX, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5163 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-6641
Mailing Address - Country:US
Mailing Address - Phone:814-977-0679
Mailing Address - Fax:814-310-2547
Practice Address - Street 1:100 E PITT ST STE 201
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1358
Practice Address - Country:US
Practice Address - Phone:814-977-1610
Practice Address - Fax:814-310-2547
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health