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NPI Code Detail

MEDICARE: LINDSAY KRISTINE RITTENHOUSE

MEDICARE: LINDSAY KRISTINE RITTENHOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0-10-3929LA

General Provider Information

NPI Number : 1518263292
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY KRISTINE RITTENHOUSE
Provider Business Mailing Address
First Line : 115 AUSTIN ST
Second Line :
City : MONROE
State : LA
Zip : 71202-6201
Country : US
Telephone Number : 318-557-1556
Fax Number :
Provider Business Practice Location Address
First Line : 2522 E 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-4002
Country : US
Telephone Number : 318-795-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2011
Last Update Date : 01/28/2011

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Directions to “ LINDSAY KRISTINE RITTENHOUSE ” Practice Location

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