Provider Demographics
NPI:1043767486
Name:RAMIREZ-OLIVAS, NANCY PAOLA (PSYD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:PAOLA
Last Name:RAMIREZ-OLIVAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:PAOLA
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:14796 JIM BRIDGER RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-9541
Mailing Address - Country:US
Mailing Address - Phone:408-603-5302
Mailing Address - Fax:408-603-5302
Practice Address - Street 1:2629 E YANDELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3724
Practice Address - Country:US
Practice Address - Phone:915-233-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
TX38898103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent