Provider Demographics
NPI:1386841658
Name:RITSKO, NANCY LOUISE (PHD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:RITSKO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1302
Mailing Address - Country:US
Mailing Address - Phone:814-952-4964
Mailing Address - Fax:
Practice Address - Street 1:70 2ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-1509
Practice Address - Country:US
Practice Address - Phone:814-849-2844
Practice Address - Fax:814-849-3425
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004611101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC004611OtherLICENSED PROF. COUNSELOR