Provider Demographics
NPI:1598310187
Name:ZIMMER, AMBER J (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:J
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-5257
Mailing Address - Country:US
Mailing Address - Phone:402-829-8255
Mailing Address - Fax:
Practice Address - Street 1:2202 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5257
Practice Address - Country:US
Practice Address - Phone:402-829-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty