Scott William Zimostrad in Midland - Clinical Neuropsychologist

Scott William Zimostrad - NPI 1790722965

Scott William Zimostrad is a Clinical Neuropsychologist in Midland, Michigan. Scott William Zimostrad practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Scott William Zimostrad is 1790722965. The last update date is 2007-07-08.

Scott William Zimostrad's current location address is 728 W Wackerly St, Midland, Michigan. You can contact this provider via phone number 9898396565 and fax number 9898395794. The mailing address for Scott William Zimostrad is 728 W Wackerly St, Midland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott William Zimostrad
Address 728 W Wackerly St, Midland, Michigan
Phone Number 9898396565
Fax Number 9898395794
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1790722965
Provider Enumeration Date 2006-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 728 W Wackerly St
City Midland
State Michigan (MI)
Post Code 486404703
Phone Number 9898396565
Fax Number 9898395794

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 6301004028
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0E64565 MI BCBS OF MICHIGAN

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FAQs about Scott William Zimostrad

What is the unique 10-digit identifier code issued to Scott William Zimostrad by the Centers for Medicare & Medicaid Services?

The Scott William Zimostrad has been assigned the NPI (National Provider Identifier) 1790722965 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Scott William Zimostrad is geographically located?

The Scott William Zimostrad is physically situated at the following location: 728 W Wackerly St, Midland, MI, 486404703.

What is Scott William Zimostrad's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Scott William Zimostrad is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Scott William Zimostrad receive the assignment of its 1790722965 from the Centers for Medicare & Medicaid Services?

The Scott William Zimostrad was issued its 1790722965 by the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date were the details related to Scott William Zimostrad most recently updated or revised?

The information pertaining to Scott William Zimostrad, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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