Individual
JENNIFER PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
68 W CHURCH ST STE 318, NEWARK, OH 43055-5050
(740) 281-1777
Mailing address
7409 MANOR CREEK LOOP, NEW ALBANY, OH 43054-8822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.07790
OH
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/15/2018
Last updated
09/19/2018
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