Individual
DR. JULIA G KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(586) 582-0505
(586) 620-8113
Mailing address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(586) 582-0505
(586) 620-8113
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301014979
MI
103TC0700X
Clinical Psychologist
6301014979
MI
Other
Enumeration date
07/01/2010
Last updated
04/14/2015
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