MEDICARE: DR. BETH CHRISTIANO ZIMICK PH.D.

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
1	103TS0200X	School Psychologist	PS008684L	PA

General Provider Information

NPI Number	:	1568671469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH CHRISTIANO ZIMICK PH.D.

Provider Business Mailing Address
First Line	:	300 MOUNT LEBANON BLVD
Second Line	:	SUITE 209C
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1512
Country	:	US
Telephone Number	:	412-327-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 MOUNT LEBANON BLVD
Second Line	:	SUITE 209C
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1512
Country	:	US
Telephone Number	:	412-327-1870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

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