Provider Demographics
NPI:1902270341
Name:DUMOND, REBECCA PINON
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:PINON
Last Name:DUMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 CAMBELL THICKETT RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29472
Mailing Address - Country:US
Mailing Address - Phone:803-896-0763
Mailing Address - Fax:
Practice Address - Street 1:331 CAMBELL THICKETT RD
Practice Address - Street 2:
Practice Address - City:RIDGEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29472
Practice Address - Country:US
Practice Address - Phone:803-896-0763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist