Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 6873 | OH |
NPI | 1609272020 |
---|---|
Provider Name | Amynda Rhodes |
First Address | Westerville, OH 43081-2972 |
Second Address | Westerville, OH 43081-2972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2014 |
Last Update Date | 20/06/2019 |