Individual
MICHELLE HORNBAKER-PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2935115
NY
2084P0800X
Psychiatry Physician
Primary
D0095392
MD
2084P0800X
Psychiatry Physician
MD500002318
DC
2084P0804X
Child & Adolescent Psychiatry Physician
0101279881
VA
2084P0804X
Child & Adolescent Psychiatry Physician
55237
TN
Other
Enumeration date
03/20/2009
Last updated
04/21/2025
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