Doctor Name: | RICHARD S OXHORN |
NPI Number: | 1114011228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY6210 |
Business Practice Address: | 204 Laguna Villa Blvd A-23 Jacksonville Beach, FL - 322504053 |
Business Phone Number: | 9046251101 |
Business Fax Number: | |
Mailing Address: | Po Box 934068, MARGATE |
State: | FL |
Postal Code: | 330934068 |
Phone Number: | 9543662700 |
Fax Number: | 9543662056 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 01/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY6210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |