Healthcare Provider Details

I. General information

NPI: 1396384723
Provider Name (Legal Business Name): ENRIQUE RAMIREZ MS,. SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 HOLLYHOCK ST
LIVERMORE CA
94551-1405
US

IV. Provider business mailing address

1263 HOLLYHOCK ST
LIVERMORE CA
94551-1405
US

V. Phone/Fax

Practice location:
  • Phone: 925-683-9557
  • Fax:
Mailing address:
  • Phone: 925-683-9557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: