Susan Park, PH.D

NPI 1235253634 · on the registry since 2007 · sole proprietor

Practice

Address: 210 S De Lacey Ave
Suite 100
Pasadena, CA 91105
Phone: (626) 395-7100
Fax: (818) 897-1766
Organisation at this address: Hathaway-Sycamores Child And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 141

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California