Provider Demographics
NPI:1528039435
Name:SOUSA, RHONDA LEE (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:LEE
Last Name:SOUSA
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SCOFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1624
Mailing Address - Country:US
Mailing Address - Phone:860-529-4260
Mailing Address - Fax:860-257-8500
Practice Address - Street 1:6 SCOFIELD
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415
Practice Address - Country:US
Practice Address - Phone:860-529-4260
Practice Address - Fax:860-257-8500
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000400231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist