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NPI Code Detail

MEDICARE: CATHERINE ZIMMERMAN ED.S.

MEDICARE:   CATHERINE  ZIMMERMAN  ED.S.
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
1103TS0200XSchool Psychologist47586DE

General Provider Information

NPI Number : 1790080745
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ZIMMERMAN ED.S.
Provider Business Mailing Address
First Line : 1311 BRANDYWINE BLVD
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1311 BRANDYWINE BLVD
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2306
Country : US
Telephone Number : 302-762-7165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 09/02/2022

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Directions to “ CATHERINE ZIMMERMAN ED.S.” Practice Location

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