Individual
STEPHANIE MARIE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4422 EAST STATE BOULEVARD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(317) 520-8200
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004597A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115770
—
IN
Enumeration date
08/10/2012
Last updated
10/10/2018
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