# MRS. SUSAN MARY ZIMMERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972746634
- **Gender:** F
- **Credential:** M.A. CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP602 | ME | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 04/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00498220 | ASHA MEMBERSHIP NUMBER | — |
| 01 | — | 2175 | STATE OF SOUTH CAROLINA SPEECH PATHOLOGY LICENSE | SC |
| 01 | — | SP602 | SATE OF MAINE SPEECH PATHOLOGY LICENSE | ME |