Individual
JANET PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 CENTRAL ST, WELLESLEY, MA 02481-8203
(781) 283-2839
Mailing address
106 CENTRAL ST, WELLESLEY, MA 02481-8203
(781) 283-2839
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6843
MA
103TC1900X
Counseling Psychologist
PS00550
RI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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