Individual
MISS SOYOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9031 WHISPERING WIND RD, LINCOLN, NE 68512-9280
(510) 912-1585
Mailing address
9031 WHISPERING WIND RD, LINCOLN, NE 68512-9280
(510) 912-1585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13075
CA
235Z00000X
Speech-Language Pathologist
Primary
2021
NE
Other
Enumeration date
09/12/2008
Last updated
09/26/2023
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