Provider Demographics
NPI:1477690006
Name:RAMSEY, PATRICIA ANN (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 TROUT FARM RD
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-7114
Mailing Address - Country:US
Mailing Address - Phone:417-451-1493
Mailing Address - Fax:417-455-2631
Practice Address - Street 1:8525 TROUT FARM RD
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-7114
Practice Address - Country:US
Practice Address - Phone:417-451-1493
Practice Address - Fax:417-455-2631
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01855235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO01855OtherSTATE LICENSE NUMBER
MO01122246OtherASHA CERTIFIED MEMBER NO.