Provider Demographics
NPI:1740569359
Name:RONALD L. RITTER, PH.D. & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:RONALD L. RITTER, PH.D. & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/ CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-826-2319
Mailing Address - Street 1:1635 NE LOOP 410 STE 607
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1619
Mailing Address - Country:US
Mailing Address - Phone:210-826-2319
Mailing Address - Fax:
Practice Address - Street 1:1635 NE LOOP 410 STE 607
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1619
Practice Address - Country:US
Practice Address - Phone:210-826-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50409237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022118601Medicaid