Healthcare Provider Details

I. General information

NPI: 1558285700
Provider Name (Legal Business Name): KATHERINE FOX, PYS.D. PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 CAIDEN DR
PONTE VEDRA FL
32081-1166
US

IV. Provider business mailing address

789 CAIDEN DR
PONTE VEDRA FL
32081-1166
US

V. Phone/Fax

Practice location:
  • Phone: 971-389-9899
  • Fax:
Mailing address:
  • Phone: 971-389-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE FOX
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 971-389-9899