Healthcare Provider Details
I. General information
NPI: 1316047251
Provider Name (Legal Business Name): RITA ANN OHRINER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2375 LAPIS RD
CARLSBAD CA
92009-1722
US
IV. Provider business mailing address
2375 LAPIS RD
CARLSBAD CA
92009-1722
US
V. Phone/Fax
- Phone: 760-846-1645
- Fax: 760-602-4271
- Phone: 760-846-1645
- Fax: 760-602-4271
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY 19436 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: