Provider Demographics
NPI:1659453298
Name:RHODIE, SONIA M (PHD/)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:M
Last Name:RHODIE
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 1:2139 VALLEYGATE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3666
Mailing Address - Country:US
Mailing Address - Phone:910-483-6427
Mailing Address - Fax:910-483-6557
Practice Address - Street 1:2139 VALLEYGATE DR STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3666
Practice Address - Country:US
Practice Address - Phone:910-483-6427
Practice Address - Fax:910-483-6557
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1518103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1518OtherLICENSE NUMBER
NC0337XOtherBCBS
NC6000344Medicaid
NC1518OtherLICENSE NUMBER
NC6000344Medicaid