Provider Demographics
NPI:1255915641
Name:ZIMBLEMAN, ALEXANDRA MEREDITH (PSYD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MEREDITH
Last Name:ZIMBLEMAN
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 1:7256 SW 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2002
Mailing Address - Country:US
Mailing Address - Phone:717-756-2115
Mailing Address - Fax:
Practice Address - Street 1:7256 SW 63RD ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-2002
Practice Address - Country:US
Practice Address - Phone:352-425-4280
Practice Address - Fax:352-540-7229
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9340103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical