SAMUEL PARK, PHD

Psychologist

Active Individual
NPI: 1578738522

Practice Address

9500 GILMAN DRIVE
MC 0304
La Jolla, CA 92093

Phone: (858) 534-3755

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PSY16648 (CA)
Psychologist - Counseling 103TC1900X No PSY16648 (CA)

Frequently Asked Questions

NPI 1578738522 is the National Provider Identifier for SAMUEL PARK, PHD, a Psychologist provider located in La Jolla, CA. This NPI was enumerated on April 29, 2008.
SAMUEL PARK, PHD practices at 9500 GILMAN DRIVE, MC 0304, La Jolla, CA 92093.

Quick Facts

NPI
1578738522
Type
Individual
Enumerated
Apr 29, 2008
Last Updated
Apr 29, 2008

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