Provider Demographics
NPI:1700930310
Name:RAMOS, ALEXANDRA JOAN (LMHC, EDS,MSMH, CAGS)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:JOAN
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMHC, EDS,MSMH, CAGS
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:JOAN
Other - Last Name:DOUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 HARDY AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1228
Mailing Address - Country:US
Mailing Address - Phone:617-926-5263
Mailing Address - Fax:617-887-1889
Practice Address - Street 1:14 PORTER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-2116
Practice Address - Country:US
Practice Address - Phone:617-561-3189
Practice Address - Fax:617-569-7890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor