Provider Demographics
NPI:1174531610
Name:ZHU, LIN (PHD)
Entity type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:ZHU
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 1:210 W CRYSTAL LAKE AVE
Mailing Address - Street 2:APT. 228-D
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3100
Mailing Address - Country:US
Mailing Address - Phone:856-655-1695
Mailing Address - Fax:
Practice Address - Street 1:133 IVY LN
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2101
Practice Address - Country:US
Practice Address - Phone:610-878-9330
Practice Address - Fax:610-878-9331
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015540103TC0700X
WI2597-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2405183000OtherMHS, MAGELLAN
PAZH1764871OtherBLUE CROSS BLUE SHIELD
PA7080733OtherAETNA ID