Healthcare Provider Details

I. General information

NPI: 1922472760
Provider Name (Legal Business Name): GILLIAN RUPP RITZER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W SUMMIT ST
SOUDERTON PA
18964-2054
US

IV. Provider business mailing address

237 4TH AVE
PHOENIXVILLE PA
19460-3901
US

V. Phone/Fax

Practice location:
  • Phone: 215-723-9881
  • Fax:
Mailing address:
  • Phone: 610-417-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL03322
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: