Provider Demographics
NPI:1366518953
Name:FOX, BARBARA ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELLEN
Last Name:FOX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3747 CHURCH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1144
Mailing Address - Country:US
Mailing Address - Phone:856-778-7560
Mailing Address - Fax:856-787-9588
Practice Address - Street 1:3747 CHURCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1144
Practice Address - Country:US
Practice Address - Phone:856-778-7560
Practice Address - Fax:856-787-9588
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4031103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical