Individual provider · Type 1 NPI

Tiadora Kim, PSYD

Psychologist · San Jose, CA

NPI number 1770071680 Active

Practice location

5755 Cottle Rd
San Jose, CA 95123-3640

Mailing address

15559 Union Ave # 209
Los Gatos, CA 95032-3904

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X32830 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1770071680

Tiadora Kim, PSYD's National Provider Identifier is 1770071680, issued on Apr 25, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Jose, CA. The record was last updated on Jan 6, 2023.