Provider Demographics
NPI:1831239672
Name:SZCZERBA, RAMONA L (EDM, PHD)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:L
Last Name:SZCZERBA
Suffix:
Gender:F
Credentials:EDM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3687 CACTUSVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-5914
Mailing Address - Country:US
Mailing Address - Phone:619-795-6777
Mailing Address - Fax:
Practice Address - Street 1:2760 5TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6325
Practice Address - Country:US
Practice Address - Phone:619-999-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16146103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical