Basic Information
| Provider Information | |||||||||
| NPI: | 1285931006 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOX | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | L.P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 PRESTON RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750933603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143963960 | ||||||||
| FaxNumber: | 2143963962 | ||||||||
| Practice Location | |||||||||
| Address1: | 650 S EDMONDS LN STE 106 | ||||||||
| Address2: | |||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750673554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147992048 | ||||||||
| FaxNumber: | 2147852747 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2011 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 34803 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | 103TC0700X | 34803 | TX | N | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.