Provider Demographics
NPI:1063737724
Name:RATLIFF, DOROTHY JEAN
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JEAN
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26143 FRAMPTON AVE
Mailing Address - Street 2:#C
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3472
Mailing Address - Country:US
Mailing Address - Phone:310-325-2587
Mailing Address - Fax:
Practice Address - Street 1:26143 FRAMPTON AVE
Practice Address - Street 2:#C
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3472
Practice Address - Country:US
Practice Address - Phone:310-325-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW277281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical