Provider Demographics
NPI:1568856060
Name:RITTER, CORA DREW (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CORA
Middle Name:DREW
Last Name:RITTER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MISS
Other - First Name:CORA
Other - Middle Name:LEE
Other - Last Name:DREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:4233 153RD ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-2404
Mailing Address - Country:US
Mailing Address - Phone:515-795-6350
Mailing Address - Fax:
Practice Address - Street 1:2540 106TH ST STE 202
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3736
Practice Address - Country:US
Practice Address - Phone:515-599-1973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT17087101YA0400X
IA086339106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)