Provider Demographics
NPI:1619168754
Name:RITTINGER, ROBIN A (LPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:RITTINGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PROSPECT AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-4240
Mailing Address - Country:US
Mailing Address - Phone:860-570-4800
Mailing Address - Fax:860-570-0120
Practice Address - Street 1:670 PROSPECT AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4240
Practice Address - Country:US
Practice Address - Phone:860-570-4800
Practice Address - Fax:860-570-0120
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001355101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional