Provider Demographics
NPI:1891876835
Name:VILKER, RONITTE J (PHD)
Entity Type:Individual
Prefix:MRS
First Name:RONITTE
Middle Name:J
Last Name:VILKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:RONITTE
Other - Middle Name:JUDITH
Other - Last Name:VILKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3657 POST RD STE 6
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7240
Mailing Address - Country:US
Mailing Address - Phone:401-921-3220
Mailing Address - Fax:401-921-2263
Practice Address - Street 1:3657 POST RD STE 6
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7240
Practice Address - Country:US
Practice Address - Phone:401-921-3220
Practice Address - Fax:401-921-2263
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00799103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI410493OtherCHP
265621Medicare UPIN