Provider Demographics
NPI:1851758080
Name:ZIMMERMAN, ANNE MARIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:
Last Name:ZIMMERMAN
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 1:804 HEATHER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-4513
Mailing Address - Country:US
Mailing Address - Phone:440-724-4136
Mailing Address - Fax:
Practice Address - Street 1:14900 LANCELOT LN W
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4308
Practice Address - Country:US
Practice Address - Phone:440-724-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP9421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist