Provider Demographics
NPI:1710950902
Name:MALPHRUS, ROYCE VERNON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROYCE
Middle Name:VERNON
Last Name:MALPHRUS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41B MARSHELLEN DR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6901
Mailing Address - Country:US
Mailing Address - Phone:843-812-5682
Mailing Address - Fax:843-522-8569
Practice Address - Street 1:41B MARSHELLEN DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6901
Practice Address - Country:US
Practice Address - Phone:843-812-5682
Practice Address - Fax:843-522-8569
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC327, 1010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist