Practice Of Clinical Psychology Inc | |
1000 W Market St Lima OH 45805-2730 | |
(419) 227-5515 | |
(419) 227-8827 |
Full Name | Practice Of Clinical Psychology Inc |
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Speciality | Psychologist - Clinical |
Location | 1000 W Market St, Lima, Ohio |
Authorized Official Name and Position | Jerry Lee Zimmerman (PRESIDENT/TREASURER) |
Authorized Official Contact | 4192275515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Practice Of Clinical Psychology Inc 1000 W Market St Lima OH 45805-2730 Ph: (419) 227-5515 | Practice Of Clinical Psychology Inc 1000 W Market St Lima OH 45805-2730 Ph: (419) 227-5515 |
NPI Number | 1033142757 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 11/24/2010 |
Identifier | Type | State | Issuer |
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1033142757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1484 (Ohio) | Primary |
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