Provider Demographics
NPI:1154644904
Name:ZHOU, JERRY Z (PH D)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:Z
Last Name:ZHOU
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2752
Mailing Address - Country:US
Mailing Address - Phone:651-324-4589
Mailing Address - Fax:
Practice Address - Street 1:3323 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2752
Practice Address - Country:US
Practice Address - Phone:651-324-4589
Practice Address - Fax:651-714-7055
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2632237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist