Doctor Name: | JUNGKYUNG J MUN |
NPI Number: | 1275889024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2655 Prosperity Ave Apt 118 Fairfax, VA - 220314907 |
Business Phone Number: | 7039735007 |
Business Fax Number: | |
Mailing Address: | 2655 Prosperity Ave Apt 118, FAIRFAX |
State: | VA |
Postal Code: | 220314908 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/31/2012 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |