Provider Demographics
NPI:1346436623
Name:ZHANG, NAIJIAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:NAIJIAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROOSEVELT CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-5320
Mailing Address - Country:US
Mailing Address - Phone:484-883-1116
Mailing Address - Fax:484-696-4435
Practice Address - Street 1:101 MANOR AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2601
Practice Address - Country:US
Practice Address - Phone:484-883-1116
Practice Address - Fax:484-696-4435
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016260103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist