Doctor Name: | DR. LORI LYNN ALLEN-RITTER |
NPI Number: | 1124358973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | PSY14495 |
Business Practice Address: | 5189 Hospital Rd Mariposa, CA - 953389524 |
Business Phone Number: | 2099660850 |
Business Fax Number: | |
Mailing Address: | Po Box 216, MARIPOSA |
State: | CA |
Postal Code: | 953380216 |
Phone Number: | 2099660850 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2009 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY14495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |