Individual
ROBERT J. RITZEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
(910) 484-5781
Mailing address
901 ARSENAL AVE, STE 202, FAYETTEVILLE, NC 28305-5478
(910) 323-3368
(910) 486-7000
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04488
BCBS
NC
05
—
6000313
—
NC
01
—
C7486
MEDCOST
NC
Enumeration date
03/05/2007
Last updated
01/30/2018
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