Provider Demographics
NPI:1104407352
Name:RAMSEY, DAWN MICHELE (MED, MSED, MHS)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MICHELE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MED, MSED, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 E HAINES ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1512
Mailing Address - Country:US
Mailing Address - Phone:267-636-3451
Mailing Address - Fax:
Practice Address - Street 1:1120 E HAINES ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-1512
Practice Address - Country:US
Practice Address - Phone:267-636-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9096101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor