Healthcare Provider Details

I. General information

NPI: 1699981928
Provider Name (Legal Business Name): NADIA RAMZY PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

889 S BRENTWOOD BLVD SUITE 205
SAINT LOUIS MO
63105-2562
US

IV. Provider business mailing address

889 S BRENTWOOD BLVD SUITE 205
SAINT LOUIS MO
63105-2562
US

V. Phone/Fax

Practice location:
  • Phone: 314-725-7659
  • Fax: 314-725-7311
Mailing address:
  • Phone: 314-725-7659
  • Fax: 314-725-7311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberEXEMPT 337.045(A)RS
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: