Provider Demographics
NPI:1568671469
Name:ZIMICK, BETH CHRISTIANO (PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:CHRISTIANO
Last Name:ZIMICK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MOUNT LEBANON BLVD
Mailing Address - Street 2:SUITE 209C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1512
Mailing Address - Country:US
Mailing Address - Phone:412-327-1870
Mailing Address - Fax:
Practice Address - Street 1:300 MOUNT LEBANON BLVD
Practice Address - Street 2:SUITE 209C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1512
Practice Address - Country:US
Practice Address - Phone:412-327-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008684L103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool