Provider Demographics
NPI:1649457177
Name:DOUGLAS R. RAMM PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:DOUGLAS R. RAMM PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-832-9096
Mailing Address - Street 1:225 HUMPHREY RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4571
Mailing Address - Country:US
Mailing Address - Phone:724-832-9096
Mailing Address - Fax:724-832-2249
Practice Address - Street 1:225 HUMPHREY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4571
Practice Address - Country:US
Practice Address - Phone:724-832-9096
Practice Address - Fax:724-832-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1879413OtherHIGHMARK, INC.