Provider Demographics
NPI:1467043398
Name:ONDOV, RHODA (LMFT)
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:
Last Name:ONDOV
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MILITIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3039
Mailing Address - Country:US
Mailing Address - Phone:908-642-6256
Mailing Address - Fax:
Practice Address - Street 1:14 E MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2325
Practice Address - Country:US
Practice Address - Phone:908-642-6256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100193400103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling