Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS J. PARK, PH.D
Active Sole ProprietorClinical Psychologist · DEARBORN, MI
Registration Details
- NPI Number
- 1912967019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.077958752438 yrs)
- Last Updated
- May 19, 2014
- License
-
6301011777 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2314 MONROE STDEARBORN, MI, 481243010Browse MI providers · Browse ZIP 48124
- Phone
- 3135655937
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| SUSAN GREENSHIELDS | PH.D. | 1821077082 |
| KEVIN T REILLY | M.A., L.L.P. | 1891705141 |
| DR. STEVEN FRANK | PH.D. | 1174626592 |
| PENELOPE HALE | PH.D | 1700961158 |
| DR. MANUEL ALEXANDER MANRIQUE | PH.D., L.P. | 1588710222 |
| KATHRYN MILLER REILLY | PH.D. | 1881718864 |
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.