Provider Demographics
NPI:1942483532
Name:THOMASSON, RHODA L (LISW)
Entity Type:Individual
Prefix:MS
First Name:RHODA
Middle Name:L
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1356
Mailing Address - Country:US
Mailing Address - Phone:330-468-5997
Mailing Address - Fax:
Practice Address - Street 1:174 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1356
Practice Address - Country:US
Practice Address - Phone:330-468-5997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0006049101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health