Individual
DR. AILEEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
57 EXCHANGE ST STE 104, PORTLAND, ME 04101-5000
(425) 296-1747
Mailing address
57 EXCHANGE ST STE 104, PORTLAND, ME 04101-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
08/26/2021
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