Provider Demographics
NPI:1366629537
Name:RAMOS, ROSANNA RAE
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:RAE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-6218
Mailing Address - Country:US
Mailing Address - Phone:580-374-1402
Mailing Address - Fax:
Practice Address - Street 1:822 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-6218
Practice Address - Country:US
Practice Address - Phone:580-374-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health