Provider Demographics
NPI:1871912576
Name:PERRY, RHONDA LYNNE (MA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNNE
Last Name:PERRY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 WINDCREST DR APT 1621
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3027
Mailing Address - Country:US
Mailing Address - Phone:214-697-8194
Mailing Address - Fax:
Practice Address - Street 1:6306 WINDCREST DR APT 1621
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3027
Practice Address - Country:US
Practice Address - Phone:214-697-8194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX74593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional