Provider Demographics
NPI:1043386691
Name:CASE, RHONA B (EDM)
Entity Type:Individual
Prefix:
First Name:RHONA
Middle Name:B
Last Name:CASE
Suffix:
Gender:F
Credentials:EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 BRIDGETOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2208
Mailing Address - Country:US
Mailing Address - Phone:215-355-8380
Mailing Address - Fax:856-665-8951
Practice Address - Street 1:1234 BRIDGETOWN PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-2208
Practice Address - Country:US
Practice Address - Phone:215-355-8380
Practice Address - Fax:856-665-8951
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005475L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling