Provider Demographics
NPI:1508022872
Name:ZIMMERMAN, JAMIE HOPE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:HOPE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-5672
Mailing Address - Country:US
Mailing Address - Phone:618-967-1891
Mailing Address - Fax:
Practice Address - Street 1:401 SAND HILL RD
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-5672
Practice Address - Country:US
Practice Address - Phone:618-967-1891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP0000003304235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist