Provider Demographics
NPI:1689622524
Name:RAMSEY, SUZANNE ELAINE (LPA)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:ELAINE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 SINK RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-8429
Mailing Address - Country:US
Mailing Address - Phone:336-224-1216
Mailing Address - Fax:
Practice Address - Street 1:10547 N MAIN ST
Practice Address - Street 2:POB 4776
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-2883
Practice Address - Country:US
Practice Address - Phone:336-431-1888
Practice Address - Fax:336-431-2217
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1054103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107163Medicaid
NCED476OtherMEDCOST
NC0007848800OtherAETNA
NC046UJOtherBLUE CROSS BLUE SHIELD