Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 16829 | TX |
Y | 103TC0700X | Clinical Psychologist | 16829 | TX |
N | 103TH0004X | Health Psychologist | 16829 | TX |
NPI | 1811330020 |
---|---|
Provider Name | Dr. Marian R Zimmerman |
First Address | Frisco, TX 75034-1903 |
Second Address | Frisco, TX 75034-1903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 30/05/2013 |