Provider Demographics
NPI:1710637715
Name:RODNEY, ANDREA K (PHD DOCTORATE)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:K
Last Name:RODNEY
Suffix:
Gender:F
Credentials:PHD DOCTORATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 ROCK CREEK CHURCH RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1617
Mailing Address - Country:US
Mailing Address - Phone:202-823-9346
Mailing Address - Fax:
Practice Address - Street 1:744 ROCK CREEK CHURCH RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1617
Practice Address - Country:US
Practice Address - Phone:202-823-9346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALEHP669171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach