Zimmer, Jacqueline Lee

Zimmer, Jacqueline Lee is an sole proprietor health care provider with primary practice located at 710 Lonsdale Ln , Vista CA 92084-4422. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Zimmer, Jacqueline Lee can be contacted via phone (760) 224-4811.

Contact Information

Primary practice address
710 Lonsdale Ln Vista CA 92084-4422
Phone: (760) 224-4811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8386 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY8386 California

Profile Details

NPI number 1417958927
LBN Legal business name Zimmer, Jacqueline Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated May 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958927 NPPES
California MEDICAID PM0083860

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