Meena Shim Kim
Clinical Child & Adolescent Psychologist
3650 Standish Ave
Santa Rosa
, California 95407-8113
Meena Shim Kim
Clinical Child & Adolescent Psychologist
3650 Standish Ave
Santa Rosa
, California 95407-8113
(707) 585-6108
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Meena Shim Kim
- 3650 Standish Ave
- Santa Rosa, CA
- Zip : 95407-8113
- Phone : (707) 585-6108
Second Address
- Meena Shim Kim
- 3650 Standish Ave
- Santa Rosa, CA
- Zip : 95407-8113
- Phone : (707) 585-6108
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1134375694 |
|---|---|
| Provider Name | Meena Shim Kim |
| First Address | Santa Rosa, CA 95407-8113 |
| Second Address | Santa Rosa, CA 95407-8113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2008 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.