Provider Demographics
NPI:1235293200
Name:WILCOX-RITTGERS, CYNTHIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:WILCOX-RITTGERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:CYNDI
Other - Middle Name:
Other - Last Name:WILCOX-RITTGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 LIBERTY ST
Mailing Address - Street 2:SUITE #10
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2326
Mailing Address - Country:US
Mailing Address - Phone:707-762-8300
Mailing Address - Fax:707-762-8300
Practice Address - Street 1:115 LIBERTY ST
Practice Address - Street 2:SUITE #10
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2326
Practice Address - Country:US
Practice Address - Phone:707-762-8300
Practice Address - Fax:707-762-8300
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 17606103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical