Individual
SEPHANIE M ZIMMERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
940 N CABLE RD, LIMA, OH 45805-1748
(419) 222-1029
Mailing address
940 N CABLE RD, LIMA, OH 45805-1739
(419) 222-1029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256333
—
OH
Enumeration date
06/12/2006
Last updated
07/08/2007
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