Provider Demographics
NPI:1285776740
Name:RICH, RITA DUSHMAN (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:DUSHMAN
Last Name:RICH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5045 N MAIN ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3698
Mailing Address - Country:US
Mailing Address - Phone:937-276-5007
Mailing Address - Fax:937-276-5007
Practice Address - Street 1:5045 N MAIN ST
Practice Address - Street 2:SUITE 350
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3698
Practice Address - Country:US
Practice Address - Phone:937-276-5007
Practice Address - Fax:937-276-5007
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-1962235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist