Dongsoo Kim in Englewood - Clinical Neuropsychologist

Dongsoo Kim - NPI 1164609863

Dongsoo Kim is a Clinical Neuropsychologist in Englewood, New Jersey. Dongsoo Kim practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Dongsoo Kim is 1164609863. The last update date is 2008-01-24.

Dongsoo Kim's current location address is 163 Engle St 1a, Englewood, New Jersey. You can contact this provider via phone number 2018941115 and fax number 2013911799. The mailing address for Dongsoo Kim is 163 Engle St 1a, Englewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Dongsoo Kim
Address 163 Engle St 1a, Englewood, New Jersey
Phone Number 2018941115
Fax Number 2013911799
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1164609863
Provider Enumeration Date 2008-01-24
Last Updated Date 2008-01-24

Provider Mailing Address Detail

Address 163 Engle St 1a
City Englewood
State New Jersey (NJ)
Post Code 7631
Phone Number 2018941115
Fax Number 2013911799

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 35SI00419400
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Dongsoo Kim

What is the unique 10-digit identification code assigned to Dongsoo Kim by the Centers for Medicare & Medicaid Services?

The Dongsoo Kim has been issued the NPI (National Provider Identifier) 1164609863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Dongsoo Kim's facilities are geographically located?

The facilities of Dongsoo Kim are physically situated at the following location: 163 Engle St 1A, Englewood, NJ, 7631.

What is Dongsoo Kim's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dongsoo Kim is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date was the 1164609863 assigned to Dongsoo Kim?

The Dongsoo Kim was issued its 1164609863 on 2008-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Dongsoo Kim most recently updated or revised?

The details related to Dongsoo Kim, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-24.

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