Provider Demographics
NPI:1568072072
Name:RAMSEY, KATHLEEN LOLLEY (PHD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:LOLLEY
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 WILDER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-4111
Mailing Address - Country:US
Mailing Address - Phone:769-798-1212
Mailing Address - Fax:
Practice Address - Street 1:2716 SOUTH ST FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-2305
Practice Address - Country:US
Practice Address - Phone:267-425-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020029103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical