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NPI Code Detail

MEDICARE: PATTI J RAMSEY

MEDICARE:   PATTI J RAMSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17010OTHERCAALCOHOL & DRUG COUNSELING

General Provider Information

NPI Number : 1164640033
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATTI J RAMSEY
Provider Business Mailing Address
First Line : 659 E WALNUT ST
Second Line :
City : PASADENA
State : CA
Zip : 91101-1635
Country : US
Telephone Number : 626-844-0410
Fax Number :
Provider Business Practice Location Address
First Line : 659 E WALNUT ST
Second Line :
City : PASADENA
State : CA
Zip : 91101-1635
Country : US
Telephone Number : 626-844-0410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ PATTI J RAMSEY ” Practice Location

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