Provider Demographics
NPI:1699981928
Name:RAMZY, NADIA (PHD)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:RAMZY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 S BRENTWOOD BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2562
Mailing Address - Country:US
Mailing Address - Phone:314-725-7659
Mailing Address - Fax:314-725-7311
Practice Address - Street 1:889 S BRENTWOOD BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-2562
Practice Address - Country:US
Practice Address - Phone:314-725-7659
Practice Address - Fax:314-725-7311
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOEXEMPT 337.045(A)RS102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst