Individual
JEONG HYE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1545 W US HWY 30, SCHERERVILLE, IN 46375
(219) 703-2447
(219) 703-6876
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20043798A
IN
103TC0700X
Clinical Psychologist
20043798A
IN
Other
Enumeration date
05/08/2023
Last updated
03/27/2024
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