Provider Demographics
NPI:1932453453
Name:RAMIREZ, ALLISON NICHOLE (CCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICHOLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3643
Mailing Address - Country:US
Mailing Address - Phone:720-232-5329
Mailing Address - Fax:
Practice Address - Street 1:3119 NEWTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3643
Practice Address - Country:US
Practice Address - Phone:720-232-5329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14063826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist