MEDICARE: DR. RITA J. POLITZER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	1644	OH
2	103TC0700X	Clinical Psychologist	1644	OH
3	103TF0200X	Forensic Psychologist	1644	OH
4	103TM1800X	Intellectual & Developmental Disabilities Psychologist	1644	OH
5	103T00000X	Psychologist	1644	OH

General Provider Information

NPI Number	:	1528132644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA J. POLITZER PH.D.

Provider Business Mailing Address
First Line	:	3818 WASHINGTON BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3108
Country	:	US
Telephone Number	:	216-321-7961
Fax Number	:

Provider Business Practice Location Address
First Line	:	3818 WASHINGTON BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3108
Country	:	US
Telephone Number	:	216-321-7961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	09/11/2025

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