Provider Demographics
NPI:1205984374
Name:ROSS, RHONDA MATEER (LSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:MATEER
Last Name:ROSS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3304
Mailing Address - Country:US
Mailing Address - Phone:814-571-5070
Mailing Address - Fax:
Practice Address - Street 1:612 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3304
Practice Address - Country:US
Practice Address - Phone:814-571-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical