Provider Demographics
NPI:1235948183
Name:SIMPSON, RHONDA RENEE (MED)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:RENEE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 N BAUGH ST
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009-3904
Mailing Address - Country:US
Mailing Address - Phone:469-383-0903
Mailing Address - Fax:
Practice Address - Street 1:403 N BAUGH ST
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009-3904
Practice Address - Country:US
Practice Address - Phone:469-383-0903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities