Provider Demographics
NPI:1013497205
Name:CHO, JIHEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JIHEE
Middle Name:
Last Name:CHO
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 1:4332 22ND ST
Mailing Address - Street 2:STE 203
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5077
Mailing Address - Country:US
Mailing Address - Phone:917-243-1667
Mailing Address - Fax:
Practice Address - Street 1:4332 22ND ST
Practice Address - Street 2:STE 203
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5077
Practice Address - Country:US
Practice Address - Phone:917-243-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022786103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist