Provider Demographics
NPI:1922230374
Name:FOX, RALPH W II (PHD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:W
Last Name:FOX
Suffix:II
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 1:417 NEW KENT DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-8312
Mailing Address - Country:US
Mailing Address - Phone:910-392-4179
Mailing Address - Fax:
Practice Address - Street 1:417 NEW KENT DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8312
Practice Address - Country:US
Practice Address - Phone:910-392-4179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional