Provider Demographics
NPI:1356987838
Name:ZIMMERMAN, ARIANNA MARIA
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:MARIA
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 KERCHEVAL AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3647
Mailing Address - Country:US
Mailing Address - Phone:313-474-1464
Mailing Address - Fax:
Practice Address - Street 1:21 KERCHEVAL AVE STE 370
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3647
Practice Address - Country:US
Practice Address - Phone:313-474-1464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical