Provider Demographics
NPI:1811539711
Name:FOX, LINA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 VILLAGE SQUARE PMB 104
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-2303
Mailing Address - Country:US
Mailing Address - Phone:914-224-1468
Mailing Address - Fax:844-440-2402
Practice Address - Street 1:111 BOWMAN AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2846
Practice Address - Country:US
Practice Address - Phone:914-305-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist