Kim, Sharon

Kim, Sharon is an individual health care provider with primary practice located at 1111 N Charles St , Baltimore MD 21201-5505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kim, Sharon can be contacted via phone (410) 837-2050.

Contact Information

Primary practice address
1111 N Charles St Baltimore MD 21201-5505
Phone: (410) 837-2050
Fax: (866) 629-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS017668 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 06395 Maryland

Profile Details

NPI number 1184960841
LBN Legal business name Kim, Sharon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2012
Last updated Feb 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184960841 NPPES
Pennsylvania MEDICAID 102974417

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