Individual
MR. JOSEPH JIHOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA.,CCC-SLP
Contact information
Practice address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 385-0555
Mailing address
7725 MARTHAS LN, FALLS CHURCH, VA 22043-3328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12119239
AMERICAN SPEECH-HEARING-LANGUAGE ASSOCIATION
MD
01
—
2202005694
COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
10/23/2012
Last updated
10/23/2012
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