Provider Demographics
NPI:1386993913
Name:OVERLY-RIPPLE, RONDA CHARLENE (LMFT,CAADC,SAP)
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:CHARLENE
Last Name:OVERLY-RIPPLE
Suffix:
Gender:F
Credentials:LMFT,CAADC,SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 SHERATON DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7555
Mailing Address - Country:US
Mailing Address - Phone:412-601-4027
Mailing Address - Fax:
Practice Address - Street 1:56 SHERATON DR
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7555
Practice Address - Country:US
Practice Address - Phone:724-420-5731
Practice Address - Fax:724-420-5732
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000675106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist