MEDICARE: DR. AUDREY SIERRA RAMOS PHD

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	103TC0700X	Clinical Psychologist	PSYC.00016272	CO

General Provider Information

NPI Number	:	1366393001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUDREY SIERRA RAMOS PHD

Provider Business Mailing Address
First Line	:	10465 LUNETH DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-1464
Country	:	US
Telephone Number	:	719-492-5548
Fax Number	:	719-249-3541

Provider Business Practice Location Address
First Line	:	10465 LUNETH DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-1464
Country	:	US
Telephone Number	:	719-492-5548
Fax Number	:	719-249-3541

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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