Individual
DR. CHARLENE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
Mailing address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-005095
AZ
103TH0004X
Health Psychologist
Primary
PSY-005095
AZ
Other
Enumeration date
12/05/2019
Last updated
08/18/2022
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