Provider Demographics
NPI:1326267774
Name:RITTER, PENNY ANN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:ANN
Last Name:RITTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25430 VIA NOVIA
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2920
Mailing Address - Country:US
Mailing Address - Phone:661-255-0149
Mailing Address - Fax:
Practice Address - Street 1:23560 LYONS AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2521
Practice Address - Country:US
Practice Address - Phone:661-259-5146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 35481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical