Provider Demographics
NPI:1528356797
Name:RHODENHISER, DOROTHY KATHLEEN (MS, SLP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:KATHLEEN
Last Name:RHODENHISER
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 HAYWARD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8856
Mailing Address - Country:US
Mailing Address - Phone:336-883-5125
Mailing Address - Fax:
Practice Address - Street 1:2101 HOMESTEAD HILLS DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6445
Practice Address - Country:US
Practice Address - Phone:336-774-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9643235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist