Provider Demographics
NPI:1861610370
Name:RITTERBUSH, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:RITTERBUSH
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 1:1245 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57747-1465
Mailing Address - Country:US
Mailing Address - Phone:605-745-3668
Mailing Address - Fax:
Practice Address - Street 1:1245 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747-1465
Practice Address - Country:US
Practice Address - Phone:605-745-5334
Practice Address - Fax:605-745-6256
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health