Provider Demographics
NPI:1215170733
Name:RAMER, DANA QUINNEY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:QUINNEY
Last Name:RAMER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MARIE
Other - Last Name:QUINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:AL
Mailing Address - Zip Code:35470-0006
Mailing Address - Country:US
Mailing Address - Phone:205-575-1609
Mailing Address - Fax:888-501-7784
Practice Address - Street 1:1502 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-1552
Practice Address - Country:US
Practice Address - Phone:334-624-3950
Practice Address - Fax:334-624-3960
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL112525Medicaid
1215170733Medicare NSC