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Provider Information for 1396072435


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Mrs. SHELLY RENEE RITCHIE LPP


Sex: Female

NPI: 1396072435
Last Updated: 2009-11-11
Certification Date:

Details

NameValue
NPI1396072435
Enumeration Date2009-11-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 831 STATE ROUTE 716
ASHLAND, KY 41102-8252
United States

Phone: 606-928-1970 | Fax:606-928-1964
 
Primary Practice Address 831 STATE ROUTE 716
ASHLAND, KY 41102-8252
United States

Phone: 606-928-1970 | Fax:606-928-1964
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103T00000X - Psychologist KYKY-0037