Healthcare Provider Details

I. General information

NPI: 1952637217
Provider Name (Legal Business Name): ANYA K ZIMBEROFF PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2009
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 S. 188TH ST. #201 HEALTHPOINT
SEATAC WA
98188-5028
US

IV. Provider business mailing address

955 POWELL AVE SW HEALTHPOINT
RENTON WA
98057
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-7201
  • Fax: 206-277-7202
Mailing address:
  • Phone: 425-277-1311
  • Fax: 425-277-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60109939
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY60109939
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: