Individual
MR. YOUNG K KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
155 MAPLE ST, STE 301, SPRINGFIELD, MA 01105-1828
(413) 736-5393
(413) 736-5100
Mailing address
35 LAWRENCE DRIVE, LONGMEADOW, MA 01106
(413) 567-6724
(413) 567-5441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020085
BMC HEALTH NET
MA
05
—
0520772
—
MA
01
—
W04819
BLUE CROSS BS
MA
Enumeration date
12/06/2006
Last updated
03/26/2019
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