Provider Demographics
NPI:1346488194
Name:DILLINGHAM, RHONDA PALMER (MFT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:PALMER
Last Name:DILLINGHAM
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2108 HARWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8535
Mailing Address - Country:US
Mailing Address - Phone:661-664-4545
Mailing Address - Fax:
Practice Address - Street 1:5500 MING AVE STE 210
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-9120
Practice Address - Country:US
Practice Address - Phone:661-706-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36978106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist