MEDICARE: DR. WENDY L. RITCHEY 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	103T00000X	Psychologist	PSY8589	CA

General Provider Information

NPI Number	:	1750588638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY L. RITCHEY PH.D.

Provider Business Mailing Address
First Line	:	1280 BOULEVARD WAY
Second Line	:	SUITE 201
City	:	WALNUT CREEK
State	:	CA
Zip	:	94595-1125
Country	:	US
Telephone Number	:	925-938-7511
Fax Number	:	925-938-7692

Provider Business Practice Location Address
First Line	:	1280 BOULEVARD WAY
Second Line	:	SUITE 201
City	:	WALNUT CREEK
State	:	CA
Zip	:	94595-1125
Country	:	US
Telephone Number	:	925-938-7511
Fax Number	:	925-938-7692

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

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	07/08/2007

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