Individual provider · Type 1 NPI

Samuel Park, PhD

Psychologist · La Jolla, CA

NPI number 1578738522 Active

Practice location

9500 Gilman Drive, Mc 0304
La Jolla, CA 92093-0304

Call (858) 534-3755 Map

Fax (858) 534-2628

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY16648 (CA)
Counseling Psychologist 103TC1900XPSY16648 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1578738522

Samuel Park, PhD's National Provider Identifier is 1578738522, issued on Apr 29, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in La Jolla, CA. The record was last updated on Apr 29, 2008.