Provider Demographics
NPI:1053636381
Name:RAMICH, CHRISTINE WARREN (PH D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:WARREN
Last Name:RAMICH
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E MATTHEWS ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5027
Mailing Address - Country:US
Mailing Address - Phone:704-443-2990
Mailing Address - Fax:704-443-2991
Practice Address - Street 1:201 E MATTHEWS ST STE 102
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5027
Practice Address - Country:US
Practice Address - Phone:704-443-2990
Practice Address - Fax:704-443-2991
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2829103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent