Individual
RUSSELL THOMAS FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4430
Mailing address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200820
—
OH
Enumeration date
08/01/2008
Last updated
11/18/2013
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