Provider Demographics
NPI:1174590830
Name:CARDINALE, RHONDA (LPA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:CARDINALE
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 LAFOLLETTE DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9088
Mailing Address - Country:US
Mailing Address - Phone:866-584-9382
Mailing Address - Fax:
Practice Address - Street 1:215 LAFOLLETTE DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9088
Practice Address - Country:US
Practice Address - Phone:866-584-9382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1394JOtherBCBS
NC6107023Medicaid
NC201993041OtherTAX ID