Healthcare Provider Details

I. General information

NPI: 1558985838
Provider Name (Legal Business Name): ABIGAIL RITINSKI AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date: 04/26/2022
Reactivation Date: 07/21/2022

III. Provider practice location address

8028 RITCHIE HWY STE 136A
PASADENA MD
21122-1030
US

IV. Provider business mailing address

19110 MONTGOMERY VILLAGE AVE STE 120
MONTGOMERY VILLAGE MD
20886-3706
US

V. Phone/Fax

Practice location:
  • Phone: 410-590-9462
  • Fax: 410-590-9464
Mailing address:
  • Phone: 301-977-6317
  • Fax: 301-977-8503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: