Provider Demographics
NPI:1225057573
Name:RAMSEYER, SUSAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:RAMSEYER
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 1:2708 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6969
Mailing Address - Country:US
Mailing Address - Phone:405-348-1376
Mailing Address - Fax:405-348-2031
Practice Address - Street 1:2708 E 33RD ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6969
Practice Address - Country:US
Practice Address - Phone:405-348-1376
Practice Address - Fax:405-348-2031
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK539103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK44659866002OtherBLUECROSS BLUE SHIELD
OK44659866002OtherBLUECROSS BLUE SHIELD
332802307Medicare PIN