1386993913 NPI number — RONDA CHARLENE OVERLY-RIPPLE LMFT,CAADC,SAP

Table of content: RONDA CHARLENE OVERLY-RIPPLE LMFT,CAADC,SAP (NPI 1386993913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386993913 NPI number — RONDA CHARLENE OVERLY-RIPPLE LMFT,CAADC,SAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OVERLY-RIPPLE
Provider First Name:
RONDA
Provider Middle Name:
CHARLENE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT,CAADC,SAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386993913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
56 SHERATON DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-7555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-601-4027
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56 SHERATON DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-7555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-420-5731
Provider Business Practice Location Address Fax Number:
724-420-5732
Provider Enumeration Date:
08/29/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MF000675 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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