Healthcare Provider Details

I. General information

NPI: 1710520986
Provider Name (Legal Business Name): TERESA DITOMMASO-RING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5994 W LAS POSITAS BLVD STE 115
PLEASANTON CA
94588-8525
US

IV. Provider business mailing address

5994 W LAS POSITAS BLVD STE 115
PLEASANTON CA
94588-8525
US

V. Phone/Fax

Practice location:
  • Phone: 925-515-6347
  • Fax:
Mailing address:
  • Phone: 925-515-6347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16442
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61228774
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number251566
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: