Provider Demographics
NPI:1881166130
Name:WATKINS-FOX, SHARON NICOLE (SLP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:NICOLE
Last Name:WATKINS-FOX
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:NICOLE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:518-525-5634
Mailing Address - Fax:518-649-4094
Practice Address - Street 1:1270 BELMONT AVE
Practice Address - Street 2:INPATIENT THERAPY DEPARTMENT
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2104
Practice Address - Country:US
Practice Address - Phone:518-382-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022710235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist