| Jesse J. Suh, Psy.d. Llc | |
|
1601 Walnut St Ste 1128 Philadelphia PA 19102-2913 | |
| (215) 207-9373 | |
| Not Available |
| Full Name | Jesse J. Suh, Psy.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1601 Walnut St Ste 1128, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jesse Jong-shik Suh (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2152079373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse J. Suh, Psy.d. Llc 1601 Walnut St Ste 1128 Philadelphia PA 19102-2913 Ph: (215) 207-9373 | Jesse J. Suh, Psy.d. Llc 1601 Walnut St Ste 1128 Philadelphia PA 19102-2913 Ph: (215) 207-9373 |
| NPI Number | 1144770884 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144770884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS016534 (Pennsylvania) | Primary |
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