Doctor Name: | DR. KIM HUI TAY |
NPI Number: | 1336294826 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 2151 |
Business Practice Address: | 6391 Roosevelt Highway Warm Springs, GA - 31830 |
Business Phone Number: | 7066555021 |
Business Fax Number: | |
Mailing Address: | Po Box 100, 6391 Roosevelt Highway WARM SPRINGS |
State: | GA |
Postal Code: | 318300100 |
Phone Number: | 7066555021 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |