Provider Demographics
NPI:1457786949
Name:RYTWINSKI, NINA KATHERINE (PHD)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:KATHERINE
Last Name:RYTWINSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 POWERS BLVD
Mailing Address - Street 2:STE 204
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5471
Mailing Address - Country:US
Mailing Address - Phone:440-743-2121
Mailing Address - Fax:
Practice Address - Street 1:6115 POWERS BLVD
Practice Address - Street 2:STE 204
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5471
Practice Address - Country:US
Practice Address - Phone:440-743-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6895103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical