Individual
EDWARD F ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2601 HOOPER CT, HILLSBOROUGH, NC 27278-8993
(919) 732-4432
Mailing address
2601 HOOPER CT, HILLSBOROUGH, NC 27278-8993
(919) 732-4432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2241
NC
103TC0700X
Clinical Psychologist
2241
NC
103TC2200X
Clinical Child & Adolescent Psychologist
2241
NC
103TS0200X
School Psychologist
2241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04580
BCBS PROVIDER NO.
NC
01
—
149737
VALUE OPTIONS PROVIDER NO
NC
05
—
6107035
—
NC
Enumeration date
06/27/2007
Last updated
02/10/2014
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