Individual
AMANDA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1560 BROOKHOLLOW DR STE 212, SANTA ANA, CA 92705-5411
(714) 386-9171
Mailing address
1560 BROOKHOLLOW DR STE 212, SANTA ANA, CA 92705-5411
(714) 386-9171
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
33503
CA
103TC0700X
Clinical Psychologist
Primary
33503
CA
103TF0000X
Family Psychologist
33503
CA
103TP2701X
Group Psychotherapy Psychologist
33503
CA
Other
Enumeration date
08/11/2015
Last updated
09/02/2022
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