Provider Demographics
NPI:1841340189
Name:BIGHAM THROCKMORTON, RHONDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:BIGHAM THROCKMORTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 COMMERCE
Mailing Address - Street 2:SUITE A
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028
Mailing Address - Country:US
Mailing Address - Phone:830-792-4477
Mailing Address - Fax:830-792-4546
Practice Address - Street 1:222 SIDNEY BAKER ST S STE 350
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5900
Practice Address - Country:US
Practice Address - Phone:830-285-1215
Practice Address - Fax:830-257-0086
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166554901Medicaid
TX0090LVOtherBCBS