Amber D Zimmer, MSE, CCC-SLP
Individual provider Active NPI Speech/Language/Hearing Specialist/Technologist · Roberts, WI
NPI 1073839338 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1073839338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech/Language/Hearing Specialist/Technologist 235500000X
- License
- 3261-154 (WI)
- Practice address
- 204 W Warren St
Roberts, WI 54023 - Phone
- (715) 749-3890
- Fax
- (715) 749-4081
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3261-154 | WI | MD | Speech/Language/Hearing Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nan Reinhardt, Otr/L & Assoc, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 3261-154 | WI | Yes |
Addresses
Primary practice location
204 W Warren St
Roberts, WI 54023
Mailing address
204 W Warren St
Roberts, WI 54023
Phone (715) 749-3890
Other providers in Roberts, WI
- St Croix Valley Dental PLLC
- St. Croix Central School District
- Amanda Rae Stanek
- Helen Clara Swanson
- Chao Xiong
All providers in Roberts, WI · Speech/Language/Hearing Specialist/Technologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.