Provider Demographics
NPI:1831366723
Name:ZIMAND, ELANA (PHD)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:
Last Name:ZIMAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 PIEDMONT RD NE
Mailing Address - Street 2:SUITE 775
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1507
Mailing Address - Country:US
Mailing Address - Phone:404-664-6398
Mailing Address - Fax:
Practice Address - Street 1:3500 PIEDMONT RD NE
Practice Address - Street 2:SUITE 775
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1507
Practice Address - Country:US
Practice Address - Phone:404-664-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2332103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical