Healthcare Provider Details

I. General information

NPI: 1396830667
Provider Name (Legal Business Name): ALAN HARRIS ZIMMERMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7955 EAST ARAPAHOE COURT SUITE 3500
CENTENNIAL CO
80112
US

IV. Provider business mailing address

7955 EAST ARAPAHOE COURT SUITE 3500
CENTENNIAL CO
80112
US

V. Phone/Fax

Practice location:
  • Phone: 720-493-9343
  • Fax: 720-493-9734
Mailing address:
  • Phone: 720-493-9343
  • Fax: 720-493-9734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2302
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2302
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2302
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2302
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: