Individual
DR. HALLA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
635 MAPLE AVE, DU BOIS, PA 15801
(814) 375-6379
Mailing address
5 AMANDA CT APT 102, DU BOIS, PA 15801-3641
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT024692
PA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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