Elyse R Park is a Psychologist in Boston, Massachusetts. Elyse R Park practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Elyse R Park is 1841281763. The last update date is 2007-07-08.
Elyse R Park's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177246836 and fax number 6177244738. The mailing address for Elyse R Park is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elyse R Park |
|---|---|
| Address | 15 Parkman St, Boston, Massachusetts |
| Phone Number | 6177246836 |
| Fax Number | 6177244738 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841281763 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Parkman St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143117 |
| Phone Number | 6177246836 |
| Fax Number | 6177244738 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 7503 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W06306 | MA | BCBS MA | |
| 596272 | MA | -- |
Post Comment/ Review Below
What is the Elyse R Park's unique identification number?
The Elyse R Park has been assigned the NPI (National Provider Identifier) Number 1841281763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Elyse R Park is geographically located?
The Elyse R Park is physically situated at the following location: 15 Parkman St, Boston, MA, 21143117.
What is Elyse R Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elyse R Park is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When did the Elyse R Park receive its 1841281763?
The Elyse R Park was issued its 1841281763 on 2005-10-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Elyse R Park most recently updated or revised?
The details related to Elyse R Park, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.