Provider Demographics
NPI:1285439919
Name:FOX, SYDNEY ERIN (AMFT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ERIN
Last Name:FOX
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8964 VISTA GRANDE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4811
Mailing Address - Country:US
Mailing Address - Phone:281-352-6780
Mailing Address - Fax:
Practice Address - Street 1:8964 VISTA GRANDE ST
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4811
Practice Address - Country:US
Practice Address - Phone:281-352-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148744106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist