Provider Demographics
NPI:1952981201
Name:FOX, CATHERINE MARIA (MA, BSL)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARIA
Last Name:FOX
Suffix:
Gender:F
Credentials:MA, BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GLADE RUN LUTHERAN SERVICES
Mailing Address - Street 2:30 GLADE RUN DRIVE,
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063
Mailing Address - Country:US
Mailing Address - Phone:724-452-4453
Mailing Address - Fax:
Practice Address - Street 1:GLADE RUN LUTHERAN SERVICES
Practice Address - Street 2:30 GLADE RUN DRIVE,
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063
Practice Address - Country:US
Practice Address - Phone:724-452-4453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional