Provider Demographics
NPI:1871534107
Name:AKKERMAN, RHONDA (PHD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:AKKERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 SHADOW TRACE CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5640
Mailing Address - Country:US
Mailing Address - Phone:832-725-6909
Mailing Address - Fax:
Practice Address - Street 1:11222 RICHMOND AVE
Practice Address - Street 2:STE 205-A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6662
Practice Address - Country:US
Practice Address - Phone:832-725-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-6891103TC0700X
NM1196103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00335EMedicare ID - Type UnspecifiedMEDICARE PROVIDER ID