Healthcare Provider Details

I. General information

NPI: 1164756656
Provider Name (Legal Business Name): LUCILA RAMOS-SANCHEZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

IV. Provider business mailing address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

V. Phone/Fax

Practice location:
  • Phone: 408-341-6489
  • Fax:
Mailing address:
  • Phone: 408-341-6489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 19462
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 19462
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 19462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: