Provider Demographics
NPI:1366610339
Name:ZIMBELMAN, JUDY ANN (MSW, CSW PIP)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ANN
Last Name:ZIMBELMAN
Suffix:
Gender:F
Credentials:MSW, CSW PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 E PINE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-6241
Mailing Address - Country:US
Mailing Address - Phone:605-940-1150
Mailing Address - Fax:605-271-1052
Practice Address - Street 1:7500 E PINE LAKE DR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-6241
Practice Address - Country:US
Practice Address - Phone:605-940-1150
Practice Address - Fax:605-271-1052
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1501174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist