Provider Demographics
NPI:1831347491
Name:SPICER, RHONDA K (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:K
Last Name:SPICER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2146 SOUTHGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-3096
Mailing Address - Country:US
Mailing Address - Phone:740-432-1963
Mailing Address - Fax:740-432-5143
Practice Address - Street 1:2146 SOUTHGATE PKWY
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-3096
Practice Address - Country:US
Practice Address - Phone:740-432-1963
Practice Address - Fax:740-432-5143
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00074511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical