Provider Demographics
NPI:1700238607
Name:RODRIGUEZ, RHONDA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-1323
Mailing Address - Country:US
Mailing Address - Phone:940-368-8143
Mailing Address - Fax:940-898-1715
Practice Address - Street 1:3109 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-1323
Practice Address - Country:US
Practice Address - Phone:940-368-8143
Practice Address - Fax:940-898-1715
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist