Healthcare Provider Details

I. General information

NPI: 1790013167
Provider Name (Legal Business Name): TERRI RITCHIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 E MARKET ST SUITE 260
WEST CHESTER PA
19382-4882
US

IV. Provider business mailing address

1308 WALNUT RIDGE DR
DOWNINGTOWN PA
19335-3738
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-1860
  • Fax: 610-450-6046
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number3968
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: