Provider Demographics
NPI:1851509418
Name:RHODE, MELODY G (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:G
Last Name:RHODE
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 1:1110 LARRABEE AVE
Mailing Address - Street 2:#210
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7302
Mailing Address - Country:US
Mailing Address - Phone:360-650-1689
Mailing Address - Fax:360-650-1750
Practice Address - Street 1:1110 LARRABEE AVE
Practice Address - Street 2:#210
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7302
Practice Address - Country:US
Practice Address - Phone:360-650-1689
Practice Address - Fax:360-650-1750
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002105103T00000X
TX002655-031606106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist