Park, Carol A.

Park, Carol A. is an sole proprietor health care provider with primary practice located at 1702 N. Collins Blvd. Ste 207 , Richardson TX 75080-3550. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Park, Carol A. can be contacted via phone (469) 324-9744.

Contact Information

Primary practice address
1702 N. Collins Blvd. Ste 207 Richardson TX 75080-3550
Phone: (469) 324-9744
Fax: (972) 591-2943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 66588 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 66588 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT02795 Texas

Profile Details

NPI number 1205913845
LBN Legal business name Park, Carol A.
Credentials LPC, RD, LD, CEDRED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Aug 24th, 2020 - about 4 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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