Provider Demographics
NPI:1033322243
Name:WEAVER, RHONDA RUNNING (PHD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:RUNNING
Last Name:WEAVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 E CALLE DE CABALLOS
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2404
Mailing Address - Country:US
Mailing Address - Phone:480-897-2233
Mailing Address - Fax:480-897-2252
Practice Address - Street 1:1339 E CALLE DE CABALLOS
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2404
Practice Address - Country:US
Practice Address - Phone:480-897-2233
Practice Address - Fax:480-897-2252
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1462101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional