Provider Demographics
NPI:1841884459
Name:SKOMP, RHONDA R (MA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:R
Last Name:SKOMP
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29081 US HIGHWAY 19 N LOT 175
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2414
Mailing Address - Country:US
Mailing Address - Phone:317-496-9548
Mailing Address - Fax:
Practice Address - Street 1:29081 US HIGHWAY 19 N LOT 175
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2414
Practice Address - Country:US
Practice Address - Phone:317-496-9548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health