Individual
JOHANAH Y KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2013 SOUTH 19TH STREET, TACOMA, WA 98405
(253) 383-3355
(253) 383-3627
Mailing address
2013 SOUTH 19TH STREET, TACOMA, WA 98405
(253) 383-3355
(253) 383-3627
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60805166
WA
103TC0700X
Clinical Psychologist
PY60805166
WA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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