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 |
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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 |
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Provider Enumeration Date | 2008-01-24 |
Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
Address | 163 Engle St 1a |
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City | Englewood |
State | New Jersey (NJ) |
Post Code | 7631 |
Phone Number | 2018941115 |
Fax Number | 2013911799 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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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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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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