Provider Demographics
NPI:1740299577
Name:RAMIREZ, VERONICA ARVIZU (PSYD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ARVIZU
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:ZAMORA
Other - Last Name:ARVIZU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1365 S WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2804
Mailing Address - Country:US
Mailing Address - Phone:626-705-7848
Mailing Address - Fax:
Practice Address - Street 1:1365 S WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2804
Practice Address - Country:US
Practice Address - Phone:909-890-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27967103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist