Jesse Jong-Shik Suh in Philadelphia - Clinical
Jesse Jong-Shik Suh - NPI 1922265404
Jesse Jong-Shik Suh is a Clinical in Philadelphia, Pennsylvania. Jesse Jong-Shik Suh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jesse Jong-Shik Suh is 1922265404. The last update date is 2019-12-12.
Jesse Jong-Shik Suh's current location address is 1601 Walnut St Ste 1128, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152079373. The mailing address for Jesse Jong-Shik Suh is 1601 Walnut St Ste 1128, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Jong-Shik Suh |
|---|---|
| Address | 1601 Walnut St Ste 1128, Philadelphia, Pennsylvania |
| Phone Number | 2152079373 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1922265404 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2019-12-12 |
Provider Mailing Address Detail
| Address | 1601 Walnut St Ste 1128 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191022913 |
| Phone Number | 2152079373 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 68 017624 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Jesse Jong-Shik Suh by the Centers for Medicare & Medicaid Services?
The Jesse Jong-Shik Suh has been issued the NPI (National Provider Identifier) 1922265404 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jesse Jong-Shik Suh?
The Jesse Jong-Shik Suh is situated at 1601 Walnut St Ste 1128, in the city of Philadelphia, state of PA, with the zip code 191022913.
What is Jesse Jong-Shik Suh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jesse Jong-Shik Suh's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Jesse Jong-Shik Suh receive its 1922265404 assignment from the Centers for Medicare & Medicaid Services?
The Jesse Jong-Shik Suh was assigned its 1922265404 by the Centers for Medicare & Medicaid Services on 2008-05-21.
When was the Jesse Jong-Shik Suh's information last updated?
The Jesse Jong-Shik Suh's information was last updated on 2019-12-12.
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