Provider Demographics
NPI:1659652766
Name:RHOADS, MOLLY MCFARLANE
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:MCFARLANE
Last Name:RHOADS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:RHOADS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:143 W 4TH ST
Mailing Address - Street 2:APT 4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1055
Mailing Address - Country:US
Mailing Address - Phone:336-402-1825
Mailing Address - Fax:
Practice Address - Street 1:143 W 4TH ST
Practice Address - Street 2:APT 4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1055
Practice Address - Country:US
Practice Address - Phone:336-402-1825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021325-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist