Provider Demographics
NPI:1356485940
Name:RAMIREZ, MYRIAM (MA)
Entity Type:Individual
Prefix:MRS
First Name:MYRIAM
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MYRIAM
Other - Middle Name:
Other - Last Name:KADRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:128 THUNDERBIRD DR STE B1
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4538
Mailing Address - Country:US
Mailing Address - Phone:915-838-8222
Mailing Address - Fax:915-838-8222
Practice Address - Street 1:128 THUNDERBIRD DR STE B1
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4538
Practice Address - Country:US
Practice Address - Phone:915-838-8222
Practice Address - Fax:915-838-8222
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health