Park, Brandon S

Park, Brandon S is an sole proprietor health care provider with primary practice located at 2100 Napa Vallejo Hwy , Napa CA 94558-6234. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Park, Brandon S can be contacted via phone (707) 253-5000.

Contact Information

Primary practice address
2100 Napa Vallejo Hwy Napa CA 94558-6234
Phone: (707) 253-5000
Fax: (707) 253-5513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24096 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1801112891
LBN Legal business name Park, Brandon S
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2010
Last updated Jun 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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