Basic Information
| Provider Information | |||||||||
| NPI: | 1508029810 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RITTENBERG | ||||||||
| FirstName: | ELLEN | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW ACSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25736 PLAYER DR UNIT R8 | ||||||||
| Address2: | |||||||||
| City: | VALENCIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913552363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106170154 | ||||||||
| FaxNumber: | 6612881480 | ||||||||
| Practice Location | |||||||||
| Address1: | 25736 PLAYER DR UNIT R8 | ||||||||
| Address2: | |||||||||
| City: | VALENCIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913552363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106170154 | ||||||||
| FaxNumber: | 6612881480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2008 | ||||||||
| LastUpdateDate: | 10/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.