Fox, Debra L
Fox, Debra L is an individual health care provider with primary practice located at 8401 Lake Worth Rd Suite 219, Lake Worth FL 33467-2400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fox, Debra L can be contacted via phone (561) 312-6622.Contact Information
Primary practice address
8401 Lake Worth Rd Suite 219
Lake Worth FL 33467-2400
Phone: (561) 312-6622
Fax: (561) 713-1175
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 8023 | Florida |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R033108 | New York |
Profile Details
NPI number | 1568450864 |
---|---|
LBN Legal business name | Fox, Debra L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Aug 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568450864 | NPPES |
Florida | Other | 052344 | VALUE OPTIONS |
Florida | MEDICAID | 01393737 | VALUE OPTIONS |
Florida | Other | AB354 | VALUE OPTIONS |
Florida | Other | 103958735 | VALUE OPTIONS |
Florida | Other | 7401290 | VALUE OPTIONS |
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