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General NPI Number Information
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NPI Number | 1164638664
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Entity Type | Individual
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Provider Name | SUSAN KAY RHODES PSYD, HSPP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2710 FLOWER FIELDS WAY
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City | CARLSBAD
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State | CA
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Zip | 92010-8332
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Country | US
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Telephone | 510-914-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 FLOWER FIELDS WAY
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City | CARLSBAD
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State | CA
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Zip | 92010-8332
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Country | US
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Telephone | 510-914-7317
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Fax | 510-792-0802
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY-31640
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | PSY-31640
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-31640
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License Number State | CA
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