| Doctor Name: | BLAKE RITTER |
| NPI Number: | 1093135733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN2284030 |
| Business Practice Address: | 58 Old Colony Ave South Boston, MA - 021272406 |
| Business Phone Number: | 6172681700 |
| Business Fax Number: | |
| Mailing Address: | 71 Fulkerson St, Apt 304 CAMBRIDGE |
| State: | MA |
| Postal Code: | 021412048 |
| Phone Number: | 6175154247 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2014 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN2284030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |