Provider Demographics
NPI:1063453652
Name:DICK, RHONDA R (AUD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:R
Last Name:DICK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:R
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6520
Practice Address - Fax:402-452-5015
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE249231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist