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NPI Code Detail

MEDICARE: MRS. CATHERINE SUE ZIMMERMAN M.S., CCC-A

MEDICARE: MRS. CATHERINE SUE ZIMMERMAN M.S., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist23002264AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710054481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE SUE ZIMMERMAN M.S., CCC-A
Provider Business Mailing Address
First Line : 6920 POINTE INVERNESS WAY STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7934
Country : US
Telephone Number : 260-479-3513
Fax Number : 260-479-3520
Provider Business Practice Location Address
First Line : 7926 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4140
Country : US
Telephone Number : 260-426-8117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 05/20/2020

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Directions to “ MRS. CATHERINE SUE ZIMMERMAN M.S., CCC-A” Practice Location

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