Provider Demographics
NPI:1811336837
Name:ZHANG, JOHN QINYONG
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:QINYONG
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 LAUREL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8407
Mailing Address - Country:US
Mailing Address - Phone:615-479-7304
Mailing Address - Fax:
Practice Address - Street 1:421 LAUREL HILLS DR
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8407
Practice Address - Country:US
Practice Address - Phone:615-479-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst