Provider Demographics
NPI:1134512700
Name:RAMOS, TALISA (BSW)
Entity Type:Individual
Prefix:
First Name:TALISA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:MISS
Other - First Name:TALISA
Other - Middle Name:M
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:640 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3504
Mailing Address - Country:US
Mailing Address - Phone:610-208-8860
Mailing Address - Fax:610-208-8861
Practice Address - Street 1:640 WALNUT ST STE 303
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3504
Practice Address - Country:US
Practice Address - Phone:610-208-8860
Practice Address - Fax:610-208-8861
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker