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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL A. PARK, LPC, RD, LD, CEDRED

Active Sole Proprietor

CAROL A. PARK, LPC, RD, LD, CEDRED is a Registered Dietitian healthcare provider located in RICHARDSON, Texas. NPI 1205913845 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · RICHARDSON, TX

Registration Details

NPI Number
1205913845
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2006 (19.742189119563 yrs)
Last Updated
Aug 24, 2020
Licenses
66588 (TX)
66588 (TX)
DT02795 (TX)
Sole Proprietor
Yes

Practice Information

Address
1702 N. COLLINS BLVD. STE 207
RICHARDSON, TX, 750803550
Browse TX providers · Browse ZIP 75080
Phone
4693249744
Fax
9725912943
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Professional Counselor
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in RICHARDSON, TX

Name Credential NPI
TERESA SIMPSON RD, LD, CDE 1407853864
GRACE O. RIVERS R.D., L.D., C.D.E. 1245349935
MRS. CYNTHIA MARIE HAYES M.S., RD 1346395845
MS. JO R HAVENS D.T. 1053457663
ARACELI VAZQUEZ NUTRITION AND VIDA MS, RD, LD 1255505566
JUDY J VROONLAND R.D. 1912143017
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.