NPI Code Details Logo

NPI 1710637715

NPI 1710637715 : ANDREA K RODNEY PHD DOCTORATE : NEW CARROLLTON, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710637715
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREA K RODNEY PHD DOCTORATE
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2022
-----------------------------------------------------
    Last Update Date     |    02/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7604 VICAR PL 
-----------------------------------------------------
    City                 |    NEW CARROLLTON
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20784-2966
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-823-9346
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7604 VICAR PL 
-----------------------------------------------------
    City                 |    NEW CARROLLTON
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20784-2966
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-696-7183
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP1600X
-----------------------------------------------------
    Taxonomy Name        |    Pastoral Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TM1800X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    133NN1002X
-----------------------------------------------------
    Taxonomy Name        |    Nutrition Education Nutritionist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    LEHP669
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.