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Dr. Kenneth Park, PHD
Clinical Psychologist in Lexington, Massachusetts
NPI 1457392912

Kenneth Park is a Clinical Psychologist based in Lexington, MA and is specialized in Clinical. Kenneth Park practices in Lexington, MA and has the professional credentials of PHD. The NPI Number for Kenneth Park is 1457392912 and holds a License No. 8300 (Massachusetts).

The current practice location address for Kenneth Park is 486 Lowell St, Lexington, MA and can be reached out via phone at 617-398-7297.

Location: 486 Lowell St, Lexington, MA, 02420-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457392912
Provider Name
Kenneth Park
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
486 Lowell St, Lexington, MA, 02420-2241
Phone Number
617-398-7297
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W06428 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
486 Lowell St
City
Lexington
State
Massachusetts
Zip
02420-2241
Phone Number
617-398-7297
Fax Number
person
Provider Business Mailing Address Details
Address
486 Lowell St
City
Lexington
State
Massachusetts
Zip
02420-2241
Phone Number
617-398-7297
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
8300 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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