=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558985838
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABIGAIL RITINSKI AUD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2020
-----------------------------------------------------
Last Update Date | 01/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8028 RITCHIE HWY STE 136A
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21122-1030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-590-9462
-----------------------------------------------------
Fax | 410-590-9464
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19110 MONTGOMERY VILLAGE AVE STE 120
-----------------------------------------------------
City | MONTGOMERY VILLAGE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20886-3706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-977-6317
-----------------------------------------------------
Fax | 301-977-8503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------