Park, Robert Phil
Park, Robert Phil is an individual health care provider with primary practice located at 1305 Tommydon St , Stockton CA 95210-3364. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Park, Robert Phil can be contacted via phone (209) 476-5211.Contact Information
Primary practice address
1305 Tommydon St
Stockton CA 95210-3364
Phone: (209) 476-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20153 | California |
Profile Details
| NPI number | 1053472605 |
|---|---|
| LBN Legal business name | Park, Robert Phil |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 3rd, 2022 - about 2 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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