Provider Demographics
NPI:1699164756
Name:RIBEIRO RAMIRES, ROSSANA (MSLP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROSSANA
Middle Name:
Last Name:RIBEIRO RAMIRES
Suffix:
Gender:F
Credentials:MSLP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 AMBERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1065
Mailing Address - Country:US
Mailing Address - Phone:206-617-5619
Mailing Address - Fax:
Practice Address - Street 1:1000 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-335-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP010088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist