Provider Demographics
NPI:1952475337
Name:RAMIREZ, JULIO A (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:A
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 E THOMAS RD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7848
Mailing Address - Country:US
Mailing Address - Phone:602-667-7650
Mailing Address - Fax:602-667-7651
Practice Address - Street 1:2345 E THOMAS RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7848
Practice Address - Country:US
Practice Address - Phone:602-667-7650
Practice Address - Fax:602-667-7651
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3556103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist