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General NPI Number Information
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NPI Number | 1104576214
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Entity Type | Organization
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Legal Business Name | RITTER NEUROPSYCHOLOGICAL SERVICE, LLC
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4500 SALISBURY RD STE 105
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8035
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Country | US
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Telephone | 864-630-1395
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Fax | 904-337-4724
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Provider Business Mailing Address
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Address Line | 4651 SALISBURY ROAD SUITE 400
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 864-630-1395
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Fax | 904-337-4724
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHRIN RITTER
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Credential | PHD
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Telephone | 864-630-1395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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