Provider Demographics
NPI:1699080283
Name:PRITTLER, TONJA (LMSW)
Entity type:Individual
Prefix:
First Name:TONJA
Middle Name:
Last Name:PRITTLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 RAVINE AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2439
Mailing Address - Country:US
Mailing Address - Phone:914-662-7445
Mailing Address - Fax:
Practice Address - Street 1:89 RAVINE AVE APT 2B
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2439
Practice Address - Country:US
Practice Address - Phone:914-662-7445
Practice Address - Fax:718-918-7279
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1153851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical