Provider Demographics
NPI:1033547054
Name:DOH, MINJUNG (PHD)
Entity Type:Individual
Prefix:
First Name:MINJUNG
Middle Name:
Last Name:DOH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:YONGSAN PARKTOWER BUILDLING 103 SUITE 402
Mailing Address - Street 2:YOUNGSAN DONG 5
Mailing Address - City:YONGSAN
Mailing Address - State:SEOUL
Mailing Address - Zip Code:140 762
Mailing Address - Country:KR
Mailing Address - Phone:82107-534-3013
Mailing Address - Fax:822-525-0618
Practice Address - Street 1:FL 3, 68, UJEONGGUKRO
Practice Address - Street 2:
Practice Address - City:JONGNO GU
Practice Address - State:SEOUL
Practice Address - Zip Code:03145
Practice Address - Country:KR
Practice Address - Phone:822-692-9301
Practice Address - Fax:822-525-0618
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 019875103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist