Provider Demographics
NPI:1316688179
Name:RAMIREZ, NATHAN RAYMOND I (PSYD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:RAYMOND
Last Name:RAMIREZ
Suffix:I
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 HALLOCK ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1334
Mailing Address - Country:US
Mailing Address - Phone:559-741-5781
Mailing Address - Fax:
Practice Address - Street 1:174 HALLOCK ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-1334
Practice Address - Country:US
Practice Address - Phone:559-741-5781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020417103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical