Basic Information
Provider Information
NPI: 1962719401
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: SYLVIA
MiddleName: MORALES
NamePrefix: MS.
NameSuffix:  
Credential: PSY.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 N 4TH ST
Address2: APT 219
City: MONTEBELLO
State: CA
PostalCode: 906403654
CountryCode: US
TelephoneNumber: 3238079714
FaxNumber:  
Practice Location
Address1: 1000 GOODRICH BLVD
Address2:  
City: COMMERCE
State: CA
PostalCode: 900225103
CountryCode: US
TelephoneNumber: 3238329795
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/03/2010
LastUpdateDate: 07/29/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225C00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor 

No ID Information.


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