Provider Demographics
NPI:1558985838
Name:RITINSKI, ABIGAIL (AUD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:RITINSKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19110 MONTGOMERY VILLAGE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3706
Mailing Address - Country:US
Mailing Address - Phone:301-977-6317
Mailing Address - Fax:301-977-8503
Practice Address - Street 1:8028 RITCHIE HWY STE 136A
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1030
Practice Address - Country:US
Practice Address - Phone:410-590-9462
Practice Address - Fax:410-590-9464
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2025-01-27
Deactivation Date:2022-04-26
Deactivation Code:
Reactivation Date:2022-07-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD655035500Medicaid