Individual
JUDY C PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7500 MEMORIAL PKWY SW STE 215C, HUNTSVILLE, AL 35802-2200
(256) 883-3231
(256) 883-9577
Mailing address
7500 MEMORIAL PKWY SW STE 215C, HUNTSVILLE, AL 35802-2200
(256) 883-3231
(256) 883-9577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1232
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51513561
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/09/2007
Last updated
07/08/2007
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