Provider Demographics
NPI:1972177533
Name:CLAIBORNE, RHONDA JUSTITZ (MA CCC SLP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JUSTITZ
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:ROXANNE
Other - Last Name:JUSTITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:130 LABURNUM DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2122
Mailing Address - Country:US
Mailing Address - Phone:214-403-2297
Mailing Address - Fax:
Practice Address - Street 1:1202 HALLMARK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6016
Practice Address - Country:US
Practice Address - Phone:830-570-4492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107732235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist