Individual
DR. JIN LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4190 TELEGRAPH RD STE 2700, BLOOMFIELD HILLS, MI 48302-2042
(248) 644-9466
(248) 522-7365
Mailing address
4190 TELEGRAPH RD STE 2700, BLOOMFIELD HILLS, MI 48302-2042
(248) 644-9466
(248) 522-7365
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301013434
MI
103TC0700X
Clinical Psychologist
Primary
6301013434
MI
Other
Enumeration date
07/10/2008
Last updated
05/23/2022
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