Provider Demographics
NPI:1548852858
Name:TOOMEY-RITTERSHAUS, JANE MARIE
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:MARIE
Last Name:TOOMEY-RITTERSHAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 JUDGE RD
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1214
Mailing Address - Country:US
Mailing Address - Phone:617-240-5480
Mailing Address - Fax:
Practice Address - Street 1:7 KIMBALL LN # E3B
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2617
Practice Address - Country:US
Practice Address - Phone:617-240-5480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA12191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health