Provider Demographics
NPI:1932211893
Name:RAMM, DOUGLAS ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ROBERT
Last Name:RAMM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785-0026
Mailing Address - Country:US
Mailing Address - Phone:727-596-7516
Mailing Address - Fax:
Practice Address - Street 1:2750 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE 102B
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3362
Practice Address - Country:US
Practice Address - Phone:727-596-7516
Practice Address - Fax:727-595-1789
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA063723OtherBC/BS PROVIDER NUMBER
PARA063723Medicare ID - Type Unspecified