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NPI Code Detail

MEDICARE: JENN LYLA FOX PHD

MEDICARE: JENN LYLA FOX PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1376187344
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENN LYLA FOX PHD
Provider Business Mailing Address
First Line : 1100 TUNNEL RD
Second Line : MENTAL HEALTH
City : ASHEVILLE
State : NC
Zip : 28805
Country : US
Telephone Number : 828-298-7911
Fax Number :
Provider Business Practice Location Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-298-7911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2019
Last Update Date : 04/18/2026

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