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Contact Information

CHARLENE KIM, PHD
1300 N 12TH ST STE 605
PHOENIX, AZ85006-2850
 Phone: 602-839-4567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLENE KIM · (Female)

NPI # 1356988539
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/05/2019
Last updated 08/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # PSY-005095
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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