Provider Demographics
NPI:1821678004
Name:BITTINGER, RYAN PAUL (DPSYCHOTHERAPY)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PAUL
Last Name:BITTINGER
Suffix:
Gender:M
Credentials:DPSYCHOTHERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16197 E NASSAU DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2725
Mailing Address - Country:US
Mailing Address - Phone:720-673-7224
Mailing Address - Fax:
Practice Address - Street 1:16197 E NASSAU DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2725
Practice Address - Country:US
Practice Address - Phone:720-673-7224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor