Provider Demographics
NPI:1174924096
Name:ZIMMERMAN, MELISSA (BA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9898 E MEXICO AVE
Mailing Address - Street 2:APT 914
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6237
Mailing Address - Country:US
Mailing Address - Phone:520-991-0506
Mailing Address - Fax:
Practice Address - Street 1:5500 S SYCAMORE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8201
Practice Address - Country:US
Practice Address - Phone:303-797-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health