Provider Demographics
NPI:1841507761
Name:RITZER, DORA ANN (LMFT)
Entity type:Individual
Prefix:
First Name:DORA
Middle Name:ANN
Last Name:RITZER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20361
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94820-0361
Mailing Address - Country:US
Mailing Address - Phone:510-779-2499
Mailing Address - Fax:510-255-6087
Practice Address - Street 1:3616 MACDONALD AVE STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2101
Practice Address - Country:US
Practice Address - Phone:510-779-2499
Practice Address - Fax:510-255-6087
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist