Individual
MICHELLE ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
14330 N 146TH LN, SURPRISE, AZ 85379-4715
(602) 410-4909
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLPL7578
AZ
Other
Enumeration date
05/27/2010
Last updated
01/10/2012
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