RUSSELL PARK, PHD
Psychologist - Clinical
Active
Individual
NPI: 1326020710
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | PSY14275 (CA) |
Frequently Asked Questions
NPI 1326020710 is the National Provider Identifier for RUSSELL PARK, PHD, a Psychologist - Clinical provider located in Jamestown, CA. This NPI was enumerated on November 19, 2005.
RUSSELL PARK, PHD practices at 5100 O'BYRNES FERRY RD., Jamestown, CA 95327.
Quick Facts
- NPI
- 1326020710
- Type
- Individual
- Enumerated
- Nov 19, 2005
- Last Updated
- Apr 4, 2013
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