Provider Demographics
NPI:1962035717
Name:GADD, RONDA SUE
Entity Type:Individual
Prefix:MRS
First Name:RONDA
Middle Name:SUE
Last Name:GADD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2742 BUCKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-4340
Mailing Address - Country:US
Mailing Address - Phone:513-317-6782
Mailing Address - Fax:
Practice Address - Street 1:4550 RED BANK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-2118
Practice Address - Country:US
Practice Address - Phone:513-527-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator