Provider Demographics
NPI:1427337278
Name:RITTENHOUSE, JONATHAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:RITTENHOUSE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8281 WATER ST
Mailing Address - Street 2:
Mailing Address - City:PORT REPUBLIC
Mailing Address - State:VA
Mailing Address - Zip Code:24471-2406
Mailing Address - Country:US
Mailing Address - Phone:540-746-6325
Mailing Address - Fax:
Practice Address - Street 1:312 NEFF AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3429
Practice Address - Country:US
Practice Address - Phone:404-332-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004351103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical