Provider Demographics
NPI:1730265398
Name:RAMIREZ, JOHN (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4807 JONESTOWN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-1744
Mailing Address - Country:US
Mailing Address - Phone:717-545-5800
Mailing Address - Fax:717-545-5801
Practice Address - Street 1:4807 JONESTOWN RD STE 250
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1744
Practice Address - Country:US
Practice Address - Phone:717-545-5800
Practice Address - Fax:717-545-5800
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-007949-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPS-007949-LOtherLICENSE NUMBER
PAPS-007949-LOtherLICENSE NUMBER