Doctor Name: | MR. RICHARD ARTHUR RITTMASTER |
NPI Number: | 1023385234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | 803 |
Business Practice Address: | 11010 Prairie Lakes Dr Suite 350 Eden Prairie, MN - 553443884 |
Business Phone Number: | 9527462522 |
Business Fax Number: | 9527460887 |
Mailing Address: | 1900 Silver Lake Rd Nw, Suite 110 NEW BRIGHTON |
State: | MN |
Postal Code: | 551121786 |
Phone Number: | 6516289566 |
Fax Number: | 6516280411 |
NPI Enumeration Date: | 11/17/2011 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |