Provider Demographics
NPI:1568167120
Name:ZHOU OSTLUND, ZHICHUN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZHICHUN
Middle Name:
Last Name:ZHOU OSTLUND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ZHICHUN
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2443 SHIVA CT
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2443 SHIVA CT
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63011-4907
Practice Address - Country:US
Practice Address - Phone:206-460-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018045060103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst