Individual
DR. SUSAN LORAIN RITROVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHAP,PMA
Contact information
Practice address
2518 BURNSED BLVD, THE VILLAGES, FL 32163-2704
(267) 673-3630
Mailing address
2518 BURNSED BLVD, THE VILLAGES, FL 32163-2704
(267) 673-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
31702939
FL
103T00000X
Psychologist
Primary
31702939
FL
103T00000X
Psychologist
31702939
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00317736
MEDICARE/ALL INSURANCES
FL
01
—
31702939
ALL PROVIDERS MEDICARE
FL
Enumeration date
04/26/2018
Last updated
10/29/2018
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