Individual
DR. SUE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
ONE CHALET DR STE 106, THE SUMMIT EXECUTIVE OFFICES, WILTON, NH 03086-0844
(603) 654-2181
(603) 654-2182
Mailing address
PO BOX 844, ONE CHALET DRIVE, SUITE 106, WILTON, NH 03086-0844
(603) 654-2181
(603) 654-2182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP955
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30424604
—
NH
01
—
RE615801
MEDICARE PTAN
NH
Enumeration date
03/17/2006
Last updated
12/30/2010
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