Organization
DR. KIM SAGE PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM A SAGE PSY D. #29089 (PRESIDENT)
(949) 899-5787
Entity
Organization
Contact information
Practice address
1151 DOVE ST STE 202, NEWPORT BEACH, CA 92660-2853
(949) 899-5787
Mailing address
1151 DOVE ST STE 202, NEWPORT BEACH, CA 92660-2853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
29089
CA
103TA0700X
Adult Development & Aging Psychologist
29089
CA
103TB0200X
Cognitive & Behavioral Psychologist
29089
CA
103TC0700X
Clinical Psychologist
Primary
29089
CA
103TC1900X
Counseling Psychologist
29089
CA
103TC2200X
Clinical Child & Adolescent Psychologist
29089
CA
103TF0000X
Family Psychologist
29089
CA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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