Fox, Robyn Leslie

Fox, Robyn Leslie is an individual health care provider with primary practice located at 17 Garvey Pl , Glen Rock NJ 07452-3620. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fox, Robyn Leslie can be contacted via phone (201) 694-9282.

Contact Information

Primary practice address
17 Garvey Pl Glen Rock NJ 07452-3620
Phone: (201) 694-9282
Fax: (201) 857-4809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 013825 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100447700 New Jersey

Profile Details

NPI number 1558435909
LBN Legal business name Fox, Robyn Leslie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558435909 NPPES
New York MEDICAID 00246075

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