Provider Demographics
NPI:1447845953
Name:UNDERWOOD, RASHONDA DREMICE (BA)
Entity type:Individual
Prefix:MS
First Name:RASHONDA
Middle Name:DREMICE
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 AXTELL AVE APT 9D
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5126
Mailing Address - Country:US
Mailing Address - Phone:856-879-8976
Mailing Address - Fax:
Practice Address - Street 1:364 AXTELL AVE APT 9D
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5126
Practice Address - Country:US
Practice Address - Phone:856-879-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst