Park, Elizabeth Anne
Park, Elizabeth Anne is an individual health care provider with primary practice located at 250 S G St , San Bernardino CA 92410-3320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Park, Elizabeth Anne can be contacted via phone (909) 558-1000.Contact Information
Primary practice address
250 S G St
San Bernardino CA 92410-3320
Phone: (909) 558-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 27404 | California |
Profile Details
| NPI number | 1760515886 |
|---|---|
| LBN Legal business name | Park, Elizabeth Anne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | May 12th, 2021 - 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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