Provider Demographics
NPI:1396756276
Name:FOX-BARBER, DENISE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:FOX-BARBER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SCHOOSETT STREET, SUITE 310
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359
Mailing Address - Country:US
Mailing Address - Phone:781-635-6887
Mailing Address - Fax:
Practice Address - Street 1:31 SCHOOSETT STREET, SUITE 310
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359
Practice Address - Country:US
Practice Address - Phone:781-635-6887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04343088015OtherPACIFICARE BEHAVIORAL HEA
MAW51469OtherBCBS OF MASS
MAW51469Medicare ID - Type Unspecified