Kim, Samuel
Kim, Samuel is an sole proprietor health care provider with primary practice located at 14800 Quorum Dr Ste 274 , Dallas TX 75254-1420. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Kim, Samuel can be contacted via phone (214) 885-5467.Contact Information
Primary practice address
14800 Quorum Dr Ste 274
Dallas TX 75254-1420
Phone: (214) 885-5467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301015832 | Michigan |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 71316 | Texas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY.0005752 | Colorado |
Profile Details
| NPI number | 1316361728 |
|---|---|
| LBN Legal business name | Kim, Samuel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2014 |
| Last updated | Mar 8th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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