Provider Demographics
NPI:1598209793
Name:RAMYNKE, ANTHONY PAUL (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:PAUL
Last Name:RAMYNKE
Suffix:
Gender:
Credentials:MS, LMFT
Other - Prefix:MR
Other - First Name:TONY
Other - Middle Name:PAUL
Other - Last Name:RAMYNKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:2082 MICHELSON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1212
Mailing Address - Country:US
Mailing Address - Phone:714-809-3330
Mailing Address - Fax:
Practice Address - Street 1:2082 MICHELSON DR STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1212
Practice Address - Country:US
Practice Address - Phone:714-809-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT47805106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist