Zimmerman, Michael D.
Zimmerman, Michael D. is an sole proprietor health care provider with primary practice located at 642 Pollasky Ave Suite 210, Clovis CA 93612-1875. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Zimmerman, Michael D. can be contacted via phone (559) 298-5368.Contact Information
Primary practice address
642 Pollasky Ave Suite 210
Clovis CA 93612-1875
Phone: (559) 298-5368
Fax: (559) 298-5378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY10502 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY10502 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY10502 | California |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | PSY10502 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY10502 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10502 | California |
Profile Details
| NPI number | 1336261833 |
|---|---|
| LBN Legal business name | Zimmerman, Michael D. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Feb 24th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336261833 | NPPES |
| California | MEDICAID | PSY105020 |
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