Kerri Lynn Kim in Riverside - Clinical Child & Adolescent

Kerri Lynn Kim - NPI 1427269125

Kerri Lynn Kim is a Clinical Child & Adolescent in Riverside, Rhode Island. Kerri Lynn Kim practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kerri Lynn Kim is 1427269125. The last update date is 2011-09-19.

Kerri Lynn Kim's current location address is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can contact this provider via phone number 4014321000 and fax number 4014321500. The mailing address for Kerri Lynn Kim is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerri Lynn Kim
Address 1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Phone Number 4014321000
Fax Number 4014321500
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1427269125
Provider Enumeration Date 2007-05-24
Last Updated Date 2011-09-19

Provider Mailing Address Detail

Address 1011 Veterans Memorial Pkwy
City Riverside
State Rhode Island (RI)
Post Code 29155061
Phone Number 4014321000
Fax Number 4014321500

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PS01230
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PS RI PROFESSIONAL LICENSE

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FAQs about Kerri Lynn Kim

What is the Kerri Lynn Kim's unique identification number?

The Kerri Lynn Kim has been assigned the NPI (National Provider Identifier) Number 1427269125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kerri Lynn Kim?

The Kerri Lynn Kim is physically situated at 1011 Veterans Memorial Pkwy, in the city of Riverside, state of RI, with the postal code 29155061.

What is Kerri Lynn Kim's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kerri Lynn Kim's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

When did the Kerri Lynn Kim receive its 1427269125?

The Kerri Lynn Kim was issued its 1427269125 on 2007-05-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Kerri Lynn Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kerri Lynn Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-19.

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