Provider Demographics
NPI:1780284539
Name:RAMOS-GARCIA, ANNALISSA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNALISSA
Middle Name:
Last Name:RAMOS-GARCIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 33RD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1941
Mailing Address - Country:US
Mailing Address - Phone:361-207-5911
Mailing Address - Fax:
Practice Address - Street 1:2575 33RD ST APT 4
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1941
Practice Address - Country:US
Practice Address - Phone:361-207-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist