Provider Demographics
NPI:1942697370
Name:THORN, RHONDA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:THORN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 BLUE HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0042
Mailing Address - Country:US
Mailing Address - Phone:972-998-1437
Mailing Address - Fax:
Practice Address - Street 1:2406 BLUE HOLLY DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-0042
Practice Address - Country:US
Practice Address - Phone:972-998-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist