Individual
DR. SOHYE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 762-5400
(508) 762-5410
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162849A
—
MA
Enumeration date
07/17/2007
Last updated
11/29/2020
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