Provider Demographics
NPI:1609283308
Name:RHINE, DEMI (PSY D)
Entity Type:Individual
Prefix:
First Name:DEMI
Middle Name:
Last Name:RHINE
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 38TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2703
Mailing Address - Country:US
Mailing Address - Phone:510-596-8137
Mailing Address - Fax:510-596-8955
Practice Address - Street 1:345 38TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2703
Practice Address - Country:US
Practice Address - Phone:510-596-8137
Practice Address - Fax:510-596-8955
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY 22118103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical