Individual
SOYEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-5202
Mailing address
1 CONSTITUTION PLZ, CHARLESTOWN, MA 02129-2025
(857) 262-3160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01852
RI
Other
Enumeration date
07/03/2020
Last updated
03/04/2021
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