Provider Demographics
NPI:1659527463
Name:RITCHIE, ALISON NICOLA
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:NICOLA
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1108
Mailing Address - Country:US
Mailing Address - Phone:240-330-2874
Mailing Address - Fax:
Practice Address - Street 1:8626 LEE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2135
Practice Address - Country:US
Practice Address - Phone:240-330-2874
Practice Address - Fax:703-560-2622
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65986106H00000X
VA0701006834101YP2500X
DCPRC14251101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist