Provider Demographics
NPI:1649709163
Name:RENYER, RHONDA (MASTERS DEGREE)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:RENYER
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 SANDUSKY RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3972
Mailing Address - Country:US
Mailing Address - Phone:740-773-4103
Mailing Address - Fax:
Practice Address - Street 1:138 SANDUSKY RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3972
Practice Address - Country:US
Practice Address - Phone:740-773-4103
Practice Address - Fax:740-772-2545
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist