DR. Stacey Park, PHD

NPI #1659801173 in Fircrest, Washington

Provider Information

NPI Number: 1659801173
Entity Type: Individual
Name: DR. Stacey Park, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: PHD
Enumeration Date: Jun 18, 2017
Last Updated: Jun 25, 2022

Practice Location

Address: 6314 19TH ST W STE 14
City: Fircrest
State: Washington
ZIP Code: 98466-6223
Phone: (253) 239-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary
Psychologist - Counseling — Counseling	103TC1900X

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