Basic Information
| Provider Information | |||||||||
| NPI: | 1699008904 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 242 WILLOW AVE | ||||||||
| Address2: | #2 | ||||||||
| City: | SOMERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021442225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177496121 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15 UNION ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | LAWRENCE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018401866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786884830 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2009 | ||||||||
| LastUpdateDate: | 09/18/2009 | ||||||||
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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 | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 221700000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist |
No ID Information.