Provider Demographics
NPI:1720745201
Name:RAMOS, SARAH
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:RAMOS
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 1:921 CORONADO PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-4643
Mailing Address - Country:US
Mailing Address - Phone:312-607-2833
Mailing Address - Fax:
Practice Address - Street 1:4505 S MARYLAND PARKWAY
Practice Address - Street 2:CEB 226
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89154
Practice Address - Country:US
Practice Address - Phone:702-895-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist