Robert Phil Park in Stockton - Psychologist

Robert Phil Park - NPI 1053472605

Robert Phil Park is a Psychologist in Stockton, California. Robert Phil Park practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Robert Phil Park is 1053472605. The last update date is 2022-01-03.

Robert Phil Park's current location address is 1305 Tommydon St, Stockton, California. You can contact this provider via phone number 2094765211. The mailing address for Robert Phil Park is 1305 Tommydon St, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Phil Park
Address 1305 Tommydon St, Stockton, California
Phone Number 2094765211
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1053472605
Provider Enumeration Date 2006-12-13
Last Updated Date 2022-01-03

Provider Mailing Address Detail

Address 1305 Tommydon St
City Stockton
State California (CA)
Post Code 952103364
Phone Number 2094765211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY20153
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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FAQs about Robert Phil Park

What is the unique 10-digit identification code issued to Robert Phil Park by the Centers for Medicare & Medicaid Services?

The Robert Phil Park has been assigned the NPI (National Provider Identifier) 1053472605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Robert Phil Park's physical address?

The Robert Phil Park is physically located at 1305 Tommydon St, in the city of Stockton, CA, with the postal code 952103364.

What is the area of specialization for Robert Phil Park, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Phil Park is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

When did Robert Phil Park receive its 1053472605 assignment?

The Robert Phil Park was assigned its 1053472605 on 2006-12-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Robert Phil Park last refreshed?

The information related to the Robert Phil Park, including its address, specialty, and other relevant details, was last updated on 2022-01-03.

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