Individual
YOUNGJU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1690 MEADE ST, DENVER, CO 80204-1552
(303) 264-6900
Mailing address
855 W DILLON RD APT D303, LOUISVILLE, CO 80027-3217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14281688
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
Enumeration date
07/11/2019
Last updated
11/25/2020
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