Provider Demographics
NPI:1477512994
Name:GITTINGER, RITA ANN (MA,CCC,SLP)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ANN
Last Name:GITTINGER
Suffix:
Gender:F
Credentials:MA,CCC,SLP
Other - Prefix:MISS
Other - First Name:RITA
Other - Middle Name:ANN
Other - Last Name:NOVOTNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7764 PORTVIEW AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-5530
Mailing Address - Country:US
Mailing Address - Phone:330-497-7698
Mailing Address - Fax:
Practice Address - Street 1:1929A E ROYALTON RD
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-2809
Practice Address - Country:US
Practice Address - Phone:440-838-0990
Practice Address - Fax:440-838-8440
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-6036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0849916Medicaid
OH46-00041OtherUNITED HEALTHCARE INS. CO