Healthcare Provider Details

I. General information

NPI: 1659789683
Provider Name (Legal Business Name): APARNA ZIMMERMAN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7989 WASHINGTON WOODS DR
DAYTON OH
45459-4026
US

IV. Provider business mailing address

7989 WASHINGTON WOODS DR
DAYTON OH
45459-4026
US

V. Phone/Fax

Practice location:
  • Phone: 937-972-5933
  • Fax:
Mailing address:
  • Phone: 937-972-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7181
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: