Provider Demographics
NPI:1972976090
Name:RAMIREZ, KATIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 N JAMES ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-1508
Mailing Address - Country:US
Mailing Address - Phone:253-206-7644
Mailing Address - Fax:253-883-3535
Practice Address - Street 1:920 ALDER AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1401
Practice Address - Country:US
Practice Address - Phone:253-308-7644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60477833103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical