Individual
KRISTOFFER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 E COLORADO BLVD FL 2, PASADENA, CA 91107-3840
(323) 230-0771
Mailing address
3030 E COLORADO BLVD FL 2, PASADENA, CA 91107-3840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
08/15/2022
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