Provider Demographics
NPI:1659449700
Name:RAMIREZ, MAURICIO MARTIN (PHD)
Entity Type:Individual
Prefix:
First Name:MAURICIO
Middle Name:MARTIN
Last Name:RAMIREZ
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 1:213 UHC
Mailing Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588
Mailing Address - Country:US
Mailing Address - Phone:402-472-7450
Mailing Address - Fax:402-472-8010
Practice Address - Street 1:213 UHC
Practice Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588
Practice Address - Country:US
Practice Address - Phone:402-472-7450
Practice Address - Fax:402-472-8010
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor