Jeoung P Park is a Clinical in Fresno, California. Jeoung P Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeoung P Park is 1578723805. The last update date is 2018-09-10.
Jeoung P Park's current location address is 1357 W Shaw Ave, Fresno, California. You can contact this provider via phone number 5599704812. The mailing address for Jeoung P Park is 1357 W Shaw Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeoung P Park |
|---|---|
| Address | 1357 W Shaw Ave, Fresno, California |
| Phone Number | 5599704812 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1578723805 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2018-09-10 |
Provider Mailing Address Detail
| Address | 1357 W Shaw Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937113619 |
| Phone Number | 5599704812 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY29775 |
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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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What is the unique identification code assigned to Jeoung P Park by the Centers for Medicare & Medicaid Services?
The Jeoung P Park has been issued the NPI (National Provider Identifier) 1578723805. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeoung P Park located?
The Jeoung P Park is located at 1357 W Shaw Ave, Fresno, CA 937113619.
What is Jeoung P Park's area of expertise and its corresponding taxonomy classification?
The Jeoung P Park's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Jeoung P Park's 1578723805 issued?
The Jeoung P Park's 1578723805 was issued on 2008-06-10.
When was the information regarding Jeoung P Park most recently updated?
The details pertaining to the Jeoung P Park, including its address, specialty, and other relevant information, were last refreshed on 2018-09-10.
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