Provider Demographics
NPI:1639794423
Name:RAMIREZ, LIZBETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:LIZBETH
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LIZBETH
Other - Middle Name:
Other - Last Name:RAMIREZ-THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3112 XAVIER AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-1163
Mailing Address - Country:US
Mailing Address - Phone:541-668-0819
Mailing Address - Fax:
Practice Address - Street 1:2210 OLYMPIA WAY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4505
Practice Address - Country:US
Practice Address - Phone:360-501-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA561270J103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool