Provider Demographics
NPI:1285343426
Name:MOSHER-RAMIREZ, SCOTT JAY (CPFS, NCPRSS, IARCP)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:JAY
Last Name:MOSHER-RAMIREZ
Suffix:
Gender:M
Credentials:CPFS, NCPRSS, IARCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 AUSTIN BLUFFS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5768
Mailing Address - Country:US
Mailing Address - Phone:719-299-0131
Mailing Address - Fax:
Practice Address - Street 1:3225 AUSTIN BLUFFS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5768
Practice Address - Country:US
Practice Address - Phone:719-299-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCPFS-2148175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist