Provider Demographics
NPI:1679069017
Name:HALL, RITCHIE VON II (PHD)
Entity type:Individual
Prefix:DR
First Name:RITCHIE
Middle Name:VON
Last Name:HALL
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18951
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45018-0951
Mailing Address - Country:US
Mailing Address - Phone:513-549-0646
Mailing Address - Fax:513-558-5076
Practice Address - Street 1:4239 HAMILTON AVE # 2A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-2088
Practice Address - Country:US
Practice Address - Phone:513-549-0646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH430553Medicaid