Individual
MS. DIANE LOUISE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000825
—
NC
Enumeration date
10/26/2006
Last updated
12/01/2009
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