Provider Demographics
NPI:1336436922
Name:COX, TERRI R
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:R
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TERRI
Other - Middle Name:R
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-5852
Mailing Address - Country:US
Mailing Address - Phone:541-646-7385
Mailing Address - Fax:541-732-4833
Practice Address - Street 1:521 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-5852
Practice Address - Country:US
Practice Address - Phone:541-646-7385
Practice Address - Fax:541-732-4833
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health