Provider Demographics
NPI:1982740338
Name:RUSHING, RHONDA G (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:G
Last Name:RUSHING
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:G
Other - Last Name:THREATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:11008 STONE BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-2029
Mailing Address - Country:US
Mailing Address - Phone:502-724-6082
Mailing Address - Fax:
Practice Address - Street 1:801 6TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4816
Practice Address - Country:US
Practice Address - Phone:727-767-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist