Healthcare Provider Details

I. General information

NPI: 1669303665
Provider Name (Legal Business Name): JULIA FOX PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 S CAMINO DEL PUEBLO
BERNALILLO NM
87004-5710
US

IV. Provider business mailing address

6228 MESQUITE DR NW
ALBUQUERQUE NM
87120-2583
US

V. Phone/Fax

Practice location:
  • Phone: 505-867-2324
  • Fax:
Mailing address:
  • Phone: 914-522-0483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-2026-0043
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: