Provider Demographics
NPI:1902076995
Name:HINSPERGER, RHONDA JOAN (MSW)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JOAN
Last Name:HINSPERGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:JOAN
Other - Last Name:HINSPERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:MALO
Mailing Address - State:WA
Mailing Address - Zip Code:99150-0098
Mailing Address - Country:US
Mailing Address - Phone:509-429-0184
Mailing Address - Fax:509-779-4450
Practice Address - Street 1:9330 59TH AVE SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2858
Practice Address - Country:US
Practice Address - Phone:509-429-0184
Practice Address - Fax:509-779-4450
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00055895101YM0800X
WALH60243547101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1980812Medicaid