Provider Demographics
NPI:1124105168
Name:RAMIREZ-IBARRA, CHRISTINA ESTHER (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ESTHER
Last Name:RAMIREZ-IBARRA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W JOHANNA ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4125
Mailing Address - Country:US
Mailing Address - Phone:512-444-3345
Mailing Address - Fax:512-444-6005
Practice Address - Street 1:3607 MANCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5947
Practice Address - Country:US
Practice Address - Phone:512-444-3345
Practice Address - Fax:512-444-6005
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist