Individual
KYOUNG DEOK BAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3554 CHAIN BRIDGE RD STE 103, FAIRFAX, VA 22030-2709
(703) 896-7628
Mailing address
6478 WINGATE ST, ALEXANDRIA, VA 22312-1643
(419) 494-8904
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005789
VA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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