Provider Demographics
NPI:1083809438
Name:ZIMMERMAN, NANCY ANN (EDD, NCLPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:EDD, NCLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W INNES ST
Mailing Address - Street 2:CATAWBA COLLEGE
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2441
Mailing Address - Country:US
Mailing Address - Phone:704-637-4307
Mailing Address - Fax:704-637-4331
Practice Address - Street 1:2300 W INNES ST
Practice Address - Street 2:CATAWBA COLLEGE
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2441
Practice Address - Country:US
Practice Address - Phone:704-637-4307
Practice Address - Fax:704-637-4331
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional