Provider Demographics
NPI:1245327956
Name:RHODES, ROBBIE LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBBIE
Middle Name:LYNN
Last Name:RHODES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7950 DUBLIN BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2929
Mailing Address - Country:US
Mailing Address - Phone:925-803-4740
Mailing Address - Fax:925-803-4840
Practice Address - Street 1:7950 DUBLIN BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2929
Practice Address - Country:US
Practice Address - Phone:925-803-4740
Practice Address - Fax:925-803-4840
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPSY358103TC0700X
TX30751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical