Healthcare Provider Details

I. General information

NPI: 1720143613
Provider Name (Legal Business Name): DOUGLAS R. RAMM PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 HUMPHREY RD SUITE 4
GREENSBURG PA
15601-4571
US

IV. Provider business mailing address

225 HUMPHREY RD SUITE 4
GREENSBURG PA
15601-4571
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-9096
  • Fax: 724-832-2249
Mailing address:
  • Phone: 724-832-9096
  • Fax: 724-832-2249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS-003184-L
License Number StatePA

VIII. Authorized Official

Name: MRS. CAROL BOYD
Title or Position: OFFICE MANAGER
Credential:
Phone: 724-832-9096