Provider Demographics
NPI:1801997879
Name:SOX, KAREN (PHD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SOX
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 1:1105 MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4023
Mailing Address - Country:US
Mailing Address - Phone:484-322-0262
Mailing Address - Fax:
Practice Address - Street 1:1515 DEKALB PIKE
Practice Address - Street 2:SUITE 205
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3367
Practice Address - Country:US
Practice Address - Phone:484-322-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006596-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5835536OtherAETNA BEHAVIORAL HEALTH
PA607680OtherHIGHMARK BLUE CROSS
PA0761052000OtherINDEPENDENCE BLUE CROSS
PA5835536OtherAETNA BEHAVIORAL HEALTH
PASO 607680Medicare ID - Type Unspecified