Zimmer, Richard

Zimmer, Richard is an sole proprietor health care provider with primary practice located at 1049 4Th St Ste G , Santa Rosa CA 95404-4345. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zimmer, Richard can be contacted via phone (707) 771-9917.

Contact Information

Primary practice address
1049 4Th St Ste G Santa Rosa CA 95404-4345
Phone: (707) 771-9917
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14079 California

Profile Details

NPI number 1609825868
LBN Legal business name Zimmer, Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jun 30th, 2022 - about 3 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 1609825868 NPPES
California MEDICAID PSY140790

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