Individual
DR. MIA ANN IHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
40 W 116TH ST, APT. A204, NEW YORK, NY 10026-2864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020053
NY
Other
Enumeration date
07/27/2013
Last updated
11/21/2013
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