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Contact Information

JIN LEE KIM, PhD
4190 TELEGRAPH RD STE 2700
BLOOMFIELD HILLS, MI48302-2042
 Phone: 248-644-9466
 Fax: 248-522-7365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for JIN LEE KIM · (Female)

NPI Number 1588828453
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/10/2008
Last updated 05/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301013434
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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