| NPI | 1033142757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LEE ZIMMERMAN President/Treasurer 419-227-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 1484) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2010-11-24 |