Organization
JESSE J. SUH, PSY.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE JONG-SHIK SUH PSY.D. (CLINICAL PSYCHOLOGIST)
(215) 207-9373
Entity
Organization
Contact information
Practice address
1601 WALNUT ST STE 1128, PHILADELPHIA, PA 19102-2913
(215) 207-9373
Mailing address
1601 WALNUT ST STE 1128, PHILADELPHIA, PA 19102-2913
(215) 207-9373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016534
PA
Other
Enumeration date
10/05/2016
Last updated
12/12/2019
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