Provider Demographics
NPI:1700133485
Name:RAMSBOTTOM, HEIDI M (PHD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:M
Last Name:RAMSBOTTOM
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 1:5032 CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-9012
Mailing Address - Country:US
Mailing Address - Phone:717-468-5308
Mailing Address - Fax:
Practice Address - Street 1:122 W LANCASTER AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1881
Practice Address - Country:US
Practice Address - Phone:717-468-5308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist