Individual
DR. SORYOUNG ROSA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
525 SOUTH 4TH ST., SUITE 471, PHILADELPHIA, PA 19147
(267) 861-3685
(215) 965-1513
Mailing address
525 SOUTH 4TH ST., SUITE 471, PHILADELPHIA, PA 19147
(267) 861-3685
(215) 965-1513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015583
PA
Other
Enumeration date
11/16/2007
Last updated
08/13/2008
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