Individual
DR. GRACE PARK-NOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1545 PARWAY DR, GLENDALE, CA 91206-1338
(626) 244-7876
Mailing address
1545 PARWAY DR, GLENDALE, CA 91206-1338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18467
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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