Provider Demographics
NPI:1578862249
Name:RAMOS, ELIZABETH LEE (MSE)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LEE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7351
Mailing Address - Country:US
Mailing Address - Phone:563-543-4255
Mailing Address - Fax:
Practice Address - Street 1:60 NEVADA ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7351
Practice Address - Country:US
Practice Address - Phone:563-543-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA773YY1419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health