Provider Demographics
NPI:1760640551
Name:WOOD, RITA CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:CATHERINE
Last Name:WOOD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:CATHERINE
Other - Last Name:KETTERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:344 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MUNROE FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44262-1110
Mailing Address - Country:US
Mailing Address - Phone:330-686-3183
Mailing Address - Fax:
Practice Address - Street 1:2675 E 30TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3000
Practice Address - Country:US
Practice Address - Phone:216-771-6460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6084103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical