Individual
DR. JESSE JONG-SHIK SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1601 WALNUT ST STE 1128, PHILADELPHIA, PA 19102-2913
(215) 207-9373
Mailing address
1601 WALNUT ST STE 1128, PHILADELPHIA, PA 19102-2913
(215) 207-9373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
68 017624
NY
103TC0700X
Clinical Psychologist
Primary
PS016534
PA
Other
Enumeration date
05/21/2008
Last updated
12/12/2019
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