Provider Demographics
NPI:1821582578
Name:GERMAN, RAMARIS ELISA (PHD)
Entity Type:Individual
Prefix:
First Name:RAMARIS
Middle Name:ELISA
Last Name:GERMAN
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 1:227 BUCKINGHAM PL FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2920
Mailing Address - Country:US
Mailing Address - Phone:917-447-0112
Mailing Address - Fax:
Practice Address - Street 1:227 BUCKINGHAM PL FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2920
Practice Address - Country:US
Practice Address - Phone:917-447-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018471103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist