Individual
DR. SAMUEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14800 QUORUM DR STE 274, DALLAS, TX 75254-1420
(214) 885-5467
Mailing address
789 N CLARE AVE, HARRISON, MI 48625-9194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015832
MI
103T00000X
Psychologist
Primary
PSY.0005752
CO
103TS0200X
School Psychologist
71316
TX
Other
Enumeration date
02/06/2014
Last updated
03/08/2023
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