Provider Demographics
NPI:1881152866
Name:RAMIREZ, CHRISTINA SOPHIA (MA SLP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SOPHIA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:SOPHIA
Other - Last Name:KASPRZAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17461 NORTHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2209
Mailing Address - Country:US
Mailing Address - Phone:216-526-4890
Mailing Address - Fax:
Practice Address - Street 1:3151 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1757
Practice Address - Country:US
Practice Address - Phone:216-242-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist