Provider Demographics
NPI:1073850400
Name:RANKIN, RHONDA KAY (MSP, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:KAY
Last Name:RANKIN
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-1842
Mailing Address - Country:US
Mailing Address - Phone:803-568-1250
Mailing Address - Fax:803-568-1260
Practice Address - Street 1:140 LEWIS RAST RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:SC
Practice Address - Zip Code:29160-9392
Practice Address - Country:US
Practice Address - Phone:803-568-1250
Practice Address - Fax:803-568-1260
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1004235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist