MEDICARE: MR. MICHAEL ANTHONY RAMIREZ M.S., CF-SLP

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
1	235Z00000X	Speech-Language Pathologist	TSLP12082	AZ

General Provider Information

NPI Number	:	1598312019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ANTHONY RAMIREZ M.S., CF-SLP

Provider Business Mailing Address
First Line	:	4203 E INDIAN SCHOOL RD STE 230
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5344
Country	:	US
Telephone Number	:	602-903-4072
Fax Number	:

Provider Business Practice Location Address
First Line	:	4203 E INDIAN SCHOOL RD # 230
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5359
Country	:	US
Telephone Number	:	602-903-4072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	01/27/2023

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Directions to “ MR. MICHAEL ANTHONY RAMIREZ M.S., CF-SLP” Practice Location

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