Provider Demographics
NPI:1780226068
Name:RITTER, DANIEL I (BA HUM, AA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:I
Last Name:RITTER
Suffix:
Gender:M
Credentials:BA HUM, AA
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:RITTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CASE MANAGER
Mailing Address - Street 1:111 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-1163
Mailing Address - Country:US
Mailing Address - Phone:605-343-0650
Mailing Address - Fax:
Practice Address - Street 1:111 NORTH ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-1163
Practice Address - Country:US
Practice Address - Phone:605-343-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician