Individual
DR. AUDREY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 459-1373
Mailing address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 459-1373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
17644
CA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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