Healthcare Provider Details

I. General information

NPI: 1679069017
Provider Name (Legal Business Name): RITCHIE VON HALL II PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4239 HAMILTON AVE # 2A
CINCINNATI OH
45223-2088
US

IV. Provider business mailing address

PO BOX 18951
FAIRFIELD OH
45018-0951
US

V. Phone/Fax

Practice location:
  • Phone: 513-549-0646
  • Fax:
Mailing address:
  • Phone: 513-549-0646
  • Fax: 513-558-5076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: