Provider Demographics
NPI:1528288040
Name:LORETTA FOX, PH.D.
Entity type:Organization
Organization Name:LORETTA FOX, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-566-1573
Mailing Address - Street 1:467 HAMILTON AVE
Mailing Address - Street 2:SUITE 27
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1830
Mailing Address - Country:US
Mailing Address - Phone:650-566-1573
Mailing Address - Fax:650-566-1573
Practice Address - Street 1:467 HAMILTON AVE
Practice Address - Street 2:SUITE 27
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1830
Practice Address - Country:US
Practice Address - Phone:650-566-1573
Practice Address - Fax:650-566-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 8783174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty