Individual
MAGDALENE L LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021384-1
NY
103T00000X
Psychologist
Primary
PSY 4438
CO
Other
Enumeration date
07/19/2011
Last updated
10/07/2016
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