Park, Alexandrea

Park, Alexandrea is an sole proprietor health care provider with primary practice located at 9107 Wilshire Blvd Ste 475 , Beverly Hills CA 90210-5559. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Park, Alexandrea can be contacted via phone (310) 941-7775.

Contact Information

Primary practice address
9107 Wilshire Blvd Ste 475 Beverly Hills CA 90210-5559
Phone: (310) 941-7775
Fax: (310) 771-0977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 25773 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25773 California
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 25773 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 25773 California
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 25773 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25773 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 25773 California
Behavioral Health & Social Service Providers / Health 103TH0004X 25773 California

Profile Details

NPI number 1982987723
LBN Legal business name Park, Alexandrea
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2011
Last updated Oct 2nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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