Individual
DR. CARRIE LYNN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1151 EL CENTRO ST, SUITE B, SOUTH PASADENA, CA 91030-5721
(323) 345-1402
Mailing address
1151 EL CENTRO ST, SUITE B, SOUTH PASADENA, CA 91030-5721
(323) 345-1402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 22587
CA
Other
Enumeration date
10/24/2014
Last updated
03/04/2015
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