Provider Demographics
NPI:1013098359
Name:MOBLEY, RHONDA MURRAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:MURRAY
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:RHONDA
Other - Middle Name:GAIL
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1105 W 59TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-1855
Mailing Address - Country:US
Mailing Address - Phone:563-271-3994
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY 00149103T00000X
OK238103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical