Provider Demographics
NPI:1306359732
Name:RAMOS, PAULA TALITA (SLP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:TALITA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1903
Mailing Address - Country:US
Mailing Address - Phone:847-682-3108
Mailing Address - Fax:
Practice Address - Street 1:4408 HEMLOCK DR
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-1903
Practice Address - Country:US
Practice Address - Phone:847-682-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-07
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA16721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty