Individual provider · Type 1 NPI

John Park, PhD

Clinical Psychologist · Diamond Bar, CA

NPI number 1750632501 Active

Practice location

1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765

Mailing address

1317 S Diamond Bar Blvd Unit 4233
Diamond Bar, CA 91765-5610

Other practice locations

  • 10470 Foothill Blvd, Rancho Cucamonga, CA 91730-3754 · (909) 274-9119
  • 24920 Mound St, Loma Linda, CA 92350-0001 · (909) 651-2257

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X30065 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700XPSY30065 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1750632501

John Park, PhD's National Provider Identifier is 1750632501, issued on Sep 19, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Diamond Bar, CA. The record was last updated on Jul 27, 2018.