Individual provider · Type 1 NPI
Seung Park
Intellectual & Developmental Disabilities Psychologist · Anchorage, AK
NPI number
1215277124
Active
Practice location
1231W. Northern Lights Blvd. 568
Anchorage, AK 99503
Mailing address
1231 W Northern Lights Blvd # 568
Anchorage, AK 99503-2337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1215277124
Seung Park's National Provider Identifier is 1215277124, issued on Mar 1, 2013. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Anchorage, AK. The record was last updated on Mar 1, 2013.