Park, Carrie Lynn

Park, Carrie Lynn is an individual health care provider with primary practice located at 1151 El Centro St Suite B, South Pasadena CA 91030-5721. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Park, Carrie Lynn can be contacted via phone (323) 345-1402.

Contact Information

Primary practice address
1151 El Centro St Suite B South Pasadena CA 91030-5721
Phone: (323) 345-1402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 22587 California

Profile Details

NPI number 1740685304
LBN Legal business name Park, Carrie Lynn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Mar 4th, 2015 - about 11 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.

Request for update

Popular Providers