Provider Demographics
NPI:1982773925
Name:WESTERMANN-BOLTON, RITA A (EDD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:A
Last Name:WESTERMANN-BOLTON
Suffix:
Gender:
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SEAHORSE DR SE APT D
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4094
Mailing Address - Country:US
Mailing Address - Phone:727-385-5028
Mailing Address - Fax:
Practice Address - Street 1:215 SEAHORSE DR SE APT D
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-4094
Practice Address - Country:US
Practice Address - Phone:727-385-5028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health