Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS016485 | PA |
Y | 103T00000X | Psychologist | PS016485 | PA |
N | 103TC1900X | Counseling Psychologist | PS016485 | PA |
NPI | 1053542415 |
---|---|
Provider Name | Ms. Candice M Ritch-Hood |
First Address | Royersford, PA 19468-7402 |
Second Address | Philadelphia, PA 19102-2218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 04/08/2009 |