Individual
DR. BONNIE CHANGHEE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1597 RIDGE ROAD WEST, SUITE 301, ROCHESTER, NY 14615
(585) 865-0230
(585) 865-0234
Mailing address
1597 RIDGE ROAD WEST, SUITE 301, ROCHESTER, NY 14615
(585) 865-0230
(585) 865-0234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015206-1
NY
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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