Provider Demographics
NPI:1346914470
Name:RITTENHOUSE, MERITT DELANIE
Entity Type:Individual
Prefix:
First Name:MERITT
Middle Name:DELANIE
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PERRYMAN ST APT L
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IL
Mailing Address - Zip Code:62254-1394
Mailing Address - Country:US
Mailing Address - Phone:618-708-2387
Mailing Address - Fax:
Practice Address - Street 1:102 PERRYMAN ST APT L
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IL
Practice Address - Zip Code:62254-1394
Practice Address - Country:US
Practice Address - Phone:618-537-6912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst