Provider Demographics
NPI:1730242751
Name:FOX, VALERIE S (EDD)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:S
Last Name:FOX
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3236
Mailing Address - Country:US
Mailing Address - Phone:707-257-2720
Mailing Address - Fax:707-257-2795
Practice Address - Street 1:553 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3236
Practice Address - Country:US
Practice Address - Phone:707-257-2720
Practice Address - Fax:707-257-2795
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5737103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00PL57370Medicare ID - Type Unspecified