Individual
DR. JENNIFER PARK-WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
415 N SAN MATEO DR, SUITE #3, SAN MATEO, CA 94401-2493
(650) 569-0120
Mailing address
415 N SAN MATEO DR, SUITE #3, SAN MATEO, CA 94401-2493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22238
CA
Other
Enumeration date
12/22/2014
Last updated
11/08/2016
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