Provider Demographics
NPI:1962539486
Name:RAMIREZ, BRIAN J (PSYD, NP)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:RAMIREZ
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Gender:M
Credentials:PSYD, NP
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Mailing Address - Street 1:1050 E RIVER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5744
Mailing Address - Country:US
Mailing Address - Phone:520-293-1445
Mailing Address - Fax:520-696-0423
Practice Address - Street 1:1050 E RIVER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5744
Practice Address - Country:US
Practice Address - Phone:520-293-1445
Practice Address - Fax:520-696-0423
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2010-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3659103TC0700X
AZ3497363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health