Individual
CARLA MARIE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4700 S MCCLINTOCK DR STE 135, TEMPE, AZ 85282-7375
(602) 919-2068
(602) 224-2460
Mailing address
2340 E NORA ST, MESA, AZ 85213-1572
(480) 798-8556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01026746
ASHA I.D. NUMBER
—
01
—
SLP0024
STATE LICENSE
AZ
Enumeration date
09/07/2006
Last updated
08/27/2020
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