Provider Demographics
NPI:1235226291
Name:RITTER, JILL CELESTE (MS)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:CELESTE
Last Name:RITTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BARMA DR
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-1716
Mailing Address - Country:US
Mailing Address - Phone:859-442-5996
Mailing Address - Fax:859-442-5997
Practice Address - Street 1:19 BARMA DR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-1716
Practice Address - Country:US
Practice Address - Phone:859-442-5996
Practice Address - Fax:859-442-5997
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2865235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist