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Organization
JENNIFER PARK, PSYCHOLOGIST
Active
Organization
JENNIFER PARK, PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M PARK PHD (PSYCHOLOGIST)
(408) 426-5725
Entity
Organization
Contact information
Practice address
900 WELCH RD, SUITE 400, PALO ALTO, CA 94304-1805
(408) 426-5725
Mailing address
160 LINFIELD DR, MENLO PARK, CA 94025-3741
(909) 973-4463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27972
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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