Organization
SHAWN L. ZIMMERMAN, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN LEE ZIMMERMAN PHD (OWNER)
(407) 580-6997
Entity
Organization
Contact information
Practice address
549 N WYMORE RD, SUITE 209, MAITLAND, FL 32751-4203
(407) 580-6997
(407) 628-9437
Mailing address
549 N WYMORE RD, SUITE 209, MAITLAND, FL 32751-4203
(407) 580-6997
(407) 628-9437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH 9575
FL
251S00000X
Community/Behavioral Health Agency
PSYCHOLOGIST 2721
CO
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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