Basic Information
| Provider Information | |||||||||
| NPI: | 1497877682 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWTON-FOX | ||||||||
| FirstName: | BRENDA | ||||||||
| MiddleName: | JOYCE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 31604 | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952131604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2099697689 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2495 W MARCH LN STE 125 | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952078224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094651080 | ||||||||
| FaxNumber: | 2094652709 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2007 | ||||||||
| LastUpdateDate: | 04/18/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | ASW25440 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.