Individual
MRS. JAMIE N ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-7785
(636) 978-7885
Mailing address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-7785
(636) 978-7885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003001996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466034402
—
MO
Enumeration date
02/11/2007
Last updated
08/31/2011
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