Provider Demographics
NPI:1821159013
Name:SAVIN-WILLIAMS, RITCH C (PHD)
Entity Type:Individual
Prefix:
First Name:RITCH
Middle Name:C
Last Name:SAVIN-WILLIAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FIDDLERS GREEN
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NY
Mailing Address - Zip Code:14882
Mailing Address - Country:US
Mailing Address - Phone:607-533-7885
Mailing Address - Fax:607-255-9856
Practice Address - Street 1:120 EAST BUFFALO STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4266
Practice Address - Country:US
Practice Address - Phone:607-342-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012464103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical