Most Relevant Information
Provider Data
| NPI Number: | 1003023748 |
| Provider Name: | GRACE S KIM PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0100X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
26 CENTRAL ST
SOMERVILLE
MA
021432827
Practice Location Phone/Fax
| Phone: | 6175755355 |
| Fax: |
Provider Mailing Location
26 CENTRAL ST
SOMERVILLE
MA
021432827
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |