Provider Demographics
NPI:1487649646
Name:RITTENHOUSE, RONNI (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONNI
Middle Name:
Last Name:RITTENHOUSE
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 1:40 12TH ST
Mailing Address - Street 2:SUITE 331
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3279
Mailing Address - Country:US
Mailing Address - Phone:304-232-6803
Mailing Address - Fax:304-232-7033
Practice Address - Street 1:40 12TH ST
Practice Address - Street 2:SUITE 331
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3279
Practice Address - Country:US
Practice Address - Phone:304-232-6803
Practice Address - Fax:304-232-7033
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV82-300101YA0400X
WV200101YM0800X
WVCP004511311041C0700X
WVNONE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV550709001OtherFEIN
WV001721330OtherINSURANCE ID
WVY038399OtherHEALTHPLAN OF UOV
WV550709001OtherFEIN