| Doctor Name: | GARY ALLEN RITTER |
| NPI Number: | 1013264365 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LADAC |
| License Number: | 025886 |
| Business Practice Address: | 4100 Barbara Loop Se Rio Rancho, NM - 871241000 |
| Business Phone Number: | 5057028547 |
| Business Fax Number: | |
| Mailing Address: | 4100 Barbara Loop Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 871241000 |
| Phone Number: | 5057028547 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2012 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 025886 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |