Individual
LYDIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8712
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8712
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY28713
CA
Other
Enumeration date
08/28/2014
Last updated
11/19/2024
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