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

DR. GEORGE S PARK, PH.D., M.P.

Active Sole Proprietor

DR. GEORGE S PARK, PH.D., M.P. is a Prescribing Psychologist healthcare provider located in BOSSIER CITY, Louisiana. NPI 1437199031 is currently active in the NPPES registry. Verify at CMS.

Prescribing Psychologist · BOSSIER CITY, LA

Registration Details

NPI Number
1437199031
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2006 (20.20291185716 yrs)
Last Updated
Jan 11, 2016
License
MP0983 (LA)
Sole Proprietor
Yes

Practice Information

Address
2285 BENTON RD BLDG 3
SUITE 401
BOSSIER CITY, LA, 711117933
Browse LA providers · Browse ZIP 71111
Phone
3184158755
Fax
3187468565
Primary Specialty
Prescribing Psychologist
103TP0016X
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.