Provider Demographics
NPI:1134774656
Name:SPERRY, RHIANNON D (MA, AMFT)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:D
Last Name:SPERRY
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:RHIANNON
Other - Middle Name:D
Other - Last Name:VALDEZ-BEVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, AMFT
Mailing Address - Street 1:8945 GOLF LINKS RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4124
Mailing Address - Country:US
Mailing Address - Phone:510-317-1444
Mailing Address - Fax:
Practice Address - Street 1:8945 GOLF LINKS RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4124
Practice Address - Country:US
Practice Address - Phone:510-317-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-02
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
CA142903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health Worker