Provider Demographics
NPI:1174685945
Name:BARTH RAMSAY, CHRISTINE (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BARTH RAMSAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BAILEY FARM RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-5808
Mailing Address - Country:US
Mailing Address - Phone:207-504-4542
Mailing Address - Fax:
Practice Address - Street 1:21 BAILEY FARM RD
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-5808
Practice Address - Country:US
Practice Address - Phone:207-504-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1044103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM8968Medicare ID - Type Unspecified
MEMM8968Medicare UPIN