Provider Demographics
NPI:1649619487
Name:RAMOS-CRUZ, NITZA (PHD)
Entity type:Individual
Prefix:
First Name:NITZA
Middle Name:
Last Name:RAMOS-CRUZ
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 1:1690 BOSTON RD # 1015
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1153
Mailing Address - Country:US
Mailing Address - Phone:413-248-6686
Mailing Address - Fax:
Practice Address - Street 1:1690 BOSTON RD # 1015
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1153
Practice Address - Country:US
Practice Address - Phone:413-248-6686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MA13192103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No104100000XBehavioral Health & Social Service ProvidersSocial Worker