Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2829 | NC |
NPI | 1053636381 |
---|---|
Provider Name | Dr. Christine Warren Ramich |
First Address | Matthews, NC 28105-5027 |
Second Address | Matthews, NC 28105-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 30/03/2010 |