Individual
SEUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1231W. NORTHERN LIGHTS BLVD. 568, ANCHORAGE, AK 99503
(907) 744-5102
Mailing address
1231 W NORTHERN LIGHTS BLVD # 568, ANCHORAGE, AK 99503-2337
(907) 744-5102
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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