Provider Demographics
NPI:1548004526
Name:ZIMMERMAN, STEVEN GARY (LMFT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GARY
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6296
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90264-6296
Mailing Address - Country:US
Mailing Address - Phone:818-346-2212
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 6296
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90264-6296
Practice Address - Country:US
Practice Address - Phone:818-346-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT17189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health