Individual
KYOUNGSUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
329 E 62ND ST, NEW YORK, NY 10065-7769
(212) 838-4333
Mailing address
10 AUGUSTA PL, EAST BRUNSWICK, NJ 08816-5292
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020976
NY
Other
Enumeration date
08/29/2007
Last updated
11/17/2014
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