Provider Demographics
NPI:1477334365
Name:DLOUHY, RHONDA SUE
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:SUE
Last Name:DLOUHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 W ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:BATTLEFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65619-9151
Mailing Address - Country:US
Mailing Address - Phone:417-343-1552
Mailing Address - Fax:
Practice Address - Street 1:1310 E KINGSLEY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7254
Practice Address - Country:US
Practice Address - Phone:417-882-7700
Practice Address - Fax:417-885-3956
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030161851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical