Provider Demographics
NPI:1609676055
Name:RAMIREZ, BEVERLY ISABEL (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:ISABEL
Last Name:RAMIREZ
Suffix:
Gender:
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:ISABEL
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:2037 LINCOLN PARK AVE APT 312
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-2997
Mailing Address - Country:US
Mailing Address - Phone:323-803-5468
Mailing Address - Fax:
Practice Address - Street 1:5595 HUNTINGTON DR N
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-1362
Practice Address - Country:US
Practice Address - Phone:323-576-2938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31367235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist