Provider Demographics
NPI:1942323977
Name:FOXX, RICHARD M (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:FOXX
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 1:1222 QUAIL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8529
Mailing Address - Country:US
Mailing Address - Phone:717-583-0706
Mailing Address - Fax:717-583-0706
Practice Address - Street 1:1222 QUAIL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8529
Practice Address - Country:US
Practice Address - Phone:717-583-0706
Practice Address - Fax:717-583-0706
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006382L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral