Provider Demographics
NPI:1235203175
Name:ZIMMERMAN, CORINNE R (AUD, F-AAA)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:R
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:AUD, F-AAA
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:R
Other - Last Name:CHIPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:89 HOSPITAL ST
Mailing Address - Street 2:STE 3
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6651
Mailing Address - Country:US
Mailing Address - Phone:207-622-5922
Mailing Address - Fax:207-622-6052
Practice Address - Street 1:89 HOSPITAL ST
Practice Address - Street 2:STE 3
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6651
Practice Address - Country:US
Practice Address - Phone:207-622-5922
Practice Address - Fax:207-622-6052
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP758237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME030877OtherBLUE CROSS
ME2238072OtherAETNA
ME319820099Medicaid
ME013164Medicare ID - Type Unspecified