Basic Information
| Provider Information | |||||||||
| NPI: | 1174531610 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHU | ||||||||
| FirstName: | LIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 W CRYSTAL LAKE AVE | ||||||||
| Address2: | APT. 228-D | ||||||||
| City: | HADDONFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080333100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8566551695 | ||||||||
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| Practice Location | |||||||||
| Address1: | 133 IVY LN | ||||||||
| Address2: | |||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194062101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108789330 | ||||||||
| FaxNumber: | 6108789331 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PS015540 | PA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 2597-057 | WI | N | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 2405183000 | 01 | PA | MHS, MAGELLAN | OTHER | ZH1764871 | 01 | PA | BLUE CROSS BLUE SHIELD | OTHER | 7080733 | 01 | PA | AETNA ID | OTHER |