Provider Demographics
NPI:1568447712
Name:RAMETTA, MICHAEL J (MS FAAA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:RAMETTA
Suffix:
Gender:M
Credentials:MS FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E 4TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1848
Mailing Address - Country:US
Mailing Address - Phone:724-224-6811
Mailing Address - Fax:724-224-2316
Practice Address - Street 1:416 E 4TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1853
Practice Address - Country:US
Practice Address - Phone:724-224-6811
Practice Address - Fax:724-224-2316
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000915L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA293901Medicare ID - Type Unspecified