Provider Demographics
NPI:1760645469
Name:ZIMMERMANN, CAREY LYNNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAREY
Middle Name:LYNNE
Last Name:ZIMMERMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 FORT HAMILTON PKWY APT D4C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7133
Mailing Address - Country:US
Mailing Address - Phone:347-585-7691
Mailing Address - Fax:
Practice Address - Street 1:80 29TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1503
Practice Address - Country:US
Practice Address - Phone:718-840-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP61783101YM0800X
SC1440103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health