Individual
CAROL YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792
(310) 829-4136
Mailing address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792
(310) 829-4136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23673
CA
235Z00000X
Speech-Language Pathologist
4051-154
WI
Other
Enumeration date
12/31/2014
Last updated
06/27/2022
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