Provider Demographics
NPI:1609545995
Name:ZHEN, MANROU
Entity Type:Individual
Prefix:
First Name:MANROU
Middle Name:
Last Name:ZHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MANDY
Other - Middle Name:
Other - Last Name:ZHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:888 WASHINGTON ST APT 904
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1436
Mailing Address - Country:US
Mailing Address - Phone:857-869-0333
Mailing Address - Fax:
Practice Address - Street 1:888 WASHINGTON ST APT 904
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1436
Practice Address - Country:US
Practice Address - Phone:857-869-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health