Provider Demographics
NPI:1467751396
Name:D'IMPERIO, RHONDA LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:LEE
Last Name:D'IMPERIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MUSIC VILLAGE BLVD
Mailing Address - Street 2:BABBCENTER
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:614-824-3772
Mailing Address - Fax:615-447-1065
Practice Address - Street 1:105 MUSIC VILLAGE BLVD
Practice Address - Street 2:BABBCENTER
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2714
Practice Address - Country:US
Practice Address - Phone:614-824-3772
Practice Address - Fax:615-447-1065
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002288103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent