Doctor Name: | MISS KRISTEN MARIE RAMIREZ |
NPI Number: | 1093152431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. LLP |
License Number: | 6301014512 |
Business Practice Address: | 18 W Main St Milan, MI - 481601214 |
Business Phone Number: | 7344393100 |
Business Fax Number: | |
Mailing Address: | Po Box 775, SALINE |
State: | MI |
Postal Code: | 481760775 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301014512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |