Individual
DR. RUXANDRA IRINA RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.C.
Contact information
Practice address
340 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4892
(908) 310-7173
Mailing address
PO BOX 13, ANNANDALE, NJ 08801-0013
(908) 310-7173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00499300
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00574500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER NUMBER
NJ
01
—
527486
AGENCY MEDICARE PROVIDER #
NJ
01
—
7794703
AGENCY PROGRAM PROVIDER MEDICAID #
NJ
Enumeration date
01/28/2010
Last updated
04/03/2017
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