Provider Demographics
NPI:1841617388
Name:RAMIREZ, RHONDA
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 PEACH STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-3327
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4408 PEACH STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-3327
Practice Address - Country:US
Practice Address - Phone:814-860-1809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-22
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC006501Medicaid