Individual
DR. MICHELLE M KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6200 FRANKFORD AVE, 1ST FLOOR, PHILADELPHIA, PA 19135-3405
(215) 535-3980
Mailing address
3936 DONNA DR, HUNTINGDON VALLEY, PA 19006-2439
(215) 938-0776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015005
PA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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