Mimi Park, MS, CCC-SLP
NPI #1669132213 in Menlo Park, California
Provider Information
- NPI Number
- 1669132213
- Entity Type
- Individual
- Name
- Mimi Park, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Dec 22, 2021
- Last Updated
- Dec 22, 2021
Practice Location
- Address
- 648 MENLO AVE STE 8
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4713
- Phone
- (650) 714-9459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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| MRS. Dorothea K Taylor, M.S. | |
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