Search › California › 103TC0700X
Jeoung Park, PSYCHOLOGIST
NPI 1578723805 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1357 W Shaw Ave
Ste 104
Fresno, CA 93711 - Phone
- (559) 970-4812
- Organisation at this address
- Janz Family Therapy Incorporated
Foxley & Herbert Medical Corporation
Mary Kay Buckley, Psychotherapist Inc
Vibrantcare Outpatient Rehabilitation Of California IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 4460 W Shaw Ave # 555, Fresno, CA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-10
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