Provider Demographics
NPI:1790152924
Name:RAMIREZ, JULIANA (EDS)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 GREEN KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7043
Mailing Address - Country:US
Mailing Address - Phone:954-684-4382
Mailing Address - Fax:
Practice Address - Street 1:1107 GREEN KNOLL DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-7043
Practice Address - Country:US
Practice Address - Phone:954-684-4382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP606103TS0200X
OHOH3107975103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool