Provider Demographics
NPI:1932621166
Name:RAMIREZ-MAGGI, MIRELLA CRISTINA (PHD)
Entity type:Individual
Prefix:
First Name:MIRELLA
Middle Name:CRISTINA
Last Name:RAMIREZ-MAGGI
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 1:45 LYME RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1223
Mailing Address - Country:US
Mailing Address - Phone:036-755-6535
Mailing Address - Fax:
Practice Address - Street 1:45 LYME RD STE 300
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1223
Practice Address - Country:US
Practice Address - Phone:603-755-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1420103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3077550Medicaid