Organization
PRACTICE OF CLINICAL PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE ZIMMERMAN PH.D (PRESIDENT/TREASURER)
(419) 227-5515
Entity
Organization
Contact information
Practice address
1000 W MARKET ST, LIMA, OH 45805-2730
(419) 227-5515
(419) 227-8827
Mailing address
1000 W MARKET ST, LIMA, OH 45805-2730
(419) 227-5515
(419) 227-8827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1484
OH
Other
Enumeration date
07/08/2006
Last updated
11/24/2010
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