Provider Demographics
NPI:1518495613
Name:RAMIREZ, ROXANNA MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ROXANNA
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FERN ST SW UNIT I205
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-6145
Mailing Address - Country:US
Mailing Address - Phone:361-946-3279
Mailing Address - Fax:
Practice Address - Street 1:1000 FERN ST SW UNIT I205
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-6145
Practice Address - Country:US
Practice Address - Phone:361-946-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60682681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty