Provider Demographics
NPI:1508184623
Name:RAMSEY, KELLY FUSCO (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:FUSCO
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 S MOPAC
Mailing Address - Street 2:BARTON OAKS PLAZA II, STE 450
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5776
Mailing Address - Country:US
Mailing Address - Phone:512-344-4078
Mailing Address - Fax:855-222-6934
Practice Address - Street 1:901 S MOPAC
Practice Address - Street 2:BARTON OAKS PLAZA II, STE 450
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5776
Practice Address - Country:US
Practice Address - Phone:512-344-4078
Practice Address - Fax:855-222-6934
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist