Individual
DR. STEPHANIE GRACE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1201 SEVEN LOCKS RD, SUITE 111, ROCKVILLE, MD 20854-2931
(301) 762-5020
Mailing address
1201 SEVEN LOCKS RD, SUITE 111, ROCKVILLE, MD 20854-2931
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05433
MD
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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