Provider Demographics
NPI:1922034545
Name:VOTOLATO, RALPH CHRISTOPHER (PSY D)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:CHRISTOPHER
Last Name:VOTOLATO
Suffix:
Gender:M
Credentials:PSY D
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Other - Credentials:
Mailing Address - Street 1:13880 SHELL POINT PLAZA
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3504
Mailing Address - Country:US
Mailing Address - Phone:239-454-2146
Mailing Address - Fax:239-454-2111
Practice Address - Street 1:13880 SHELL POINT PLAZA
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3504
Practice Address - Country:US
Practice Address - Phone:239-466-1111
Practice Address - Fax:239-454-2111
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY 7220103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7309OtherBLUE CROSS BLUE SHIELD
FLK7309OtherBLUE CROSS BLUE SHIELD