Doctor Name: | ANYA K ZIMBEROFF |
NPI Number: | 1952637217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY60109939 |
Business Practice Address: | 4040 S. 188th St. #201 Healthpoint Seatac, WA - 981885028 |
Business Phone Number: | 2062777201 |
Business Fax Number: | 2062777202 |
Mailing Address: | 955 Powell Ave Sw, Healthpoint RENTON |
State: | WA |
Postal Code: | 98057 |
Phone Number: | 4252771311 |
Fax Number: | 4252771566 |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY60109939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |