Healthcare Provider Details

I. General information

NPI: 1659065563
Provider Name (Legal Business Name): ALICE ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 MAIN ST
PHOENIXVILLE PA
19460-4478
US

IV. Provider business mailing address

511 BREWSTER ALY
KING OF PRUSSIA PA
19406-2485
US

V. Phone/Fax

Practice location:
  • Phone: 610-806-2137
  • Fax:
Mailing address:
  • Phone: 201-785-6522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD496266
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: