Susan S. Park is a Clinical in Pasadena, California. Susan S. Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan S. Park is 1235253634. The last update date is 2013-10-28.
Susan S. Park's current location address is 210 S De Lacey Ave, Pasadena, California. You can contact this provider via phone number 6263957100 and fax number 8188971766. The mailing address for Susan S. Park is 210 S De Lacey Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan S. Park |
|---|---|
| Address | 210 S De Lacey Ave, Pasadena, California |
| Phone Number | 6263957100 |
| Fax Number | 8188971766 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1235253634 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | 210 S De Lacey Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911052048 |
| Phone Number | 6263957100 |
| Fax Number | 8188971766 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY21718 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the Susan S. Park's 1235253634?
The Susan S. Park's NPI (National Provider Identifier) Number is 1235253634. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan S. Park's facilities are situated?
The facilities of Susan S. Park are physically located at the following address: 210 S De Lacey Ave, Pasadena, CA, 911052048.
What is Susan S. Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan S. Park is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1235253634 assigned to Susan S. Park?
The Susan S. Park was issued its 1235253634 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan S. Park most recently updated?
The details pertaining to the Susan S. Park, including its address, specialty, and other relevant information, were last refreshed on 2013-10-28.
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