Provider Demographics
NPI:1851387922
Name:ADKINSON, RHONDA R (PSYD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:R
Last Name:ADKINSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1328
Mailing Address - Street 2:32435
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435-1328
Mailing Address - Country:US
Mailing Address - Phone:850-892-9955
Mailing Address - Fax:850-892-9899
Practice Address - Street 1:588 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435-2591
Practice Address - Country:US
Practice Address - Phone:850-892-9955
Practice Address - Fax:850-892-9899
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6985103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
74332OtherBCBSF
74332OtherBCBSF
74332OtherBCBSF