Provider Demographics
NPI:1558412981
Name:RITCHIE, JOHN ROSS (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROSS
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:103 SYLVAN HTS
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2543
Mailing Address - Country:US
Mailing Address - Phone:828-586-8700
Mailing Address - Fax:828-631-4435
Practice Address - Street 1:103 SYLVAN HTS
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2543
Practice Address - Country:US
Practice Address - Phone:828-586-8700
Practice Address - Fax:828-631-4435
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1322103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1548313547OtherWESTERN CAROLINA COUNSELING SERVICES
NCQ39680B295OtherMEDICARE PTAN