Individual
DR. MI HAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2501B REED ST, PHILADELPHIA, PA 19146-3900
(215) 568-2435
Mailing address
743 S 4TH ST # 3F, PHILADELPHIA, PA 19147-3125
(562) 714-5857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018279
PA
103TS0200X
School Psychologist
—
PA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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