Provider Demographics
NPI:1437734423
Name:ZIMMERMAN, PAUL DARREN
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DARREN
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26201 E 5TH PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1760
Mailing Address - Country:US
Mailing Address - Phone:720-785-4111
Mailing Address - Fax:
Practice Address - Street 1:6240 S MAIN ST STE 265
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5412
Practice Address - Country:US
Practice Address - Phone:720-785-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2599103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical