Provider Demographics
NPI:1952637217
Name:ZIMBEROFF, ANYA K (PSYD)
Entity Type:Individual
Prefix:
First Name:ANYA
Middle Name:K
Last Name:ZIMBEROFF
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 1:955 POWELL AVE SW
Mailing Address - Street 2:HEALTHPOINT
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:425-277-1311
Mailing Address - Fax:425-277-1566
Practice Address - Street 1:4040 S. 188TH ST.
Practice Address - Street 2:#201 HEALTHPOINT
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5028
Practice Address - Country:US
Practice Address - Phone:206-277-7201
Practice Address - Fax:206-277-7202
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60109939103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical