institution
George S. Park, Phd., Mp., A Psychology Corporation
Prescribing (Medical) Psychologist in Bossier City, Louisiana
NPI 1790297182

George S. Park, Phd., Mp., A Psychology Corporation is a Prescribing (Medical) Psychologist based in Bossier City, LA and is specialized in Prescribing (Medical). George S. Park, Phd., Mp., A Psychology Corporation practices in Bossier City, LA. The NPI Number for George S. Park, Phd., Mp., A Psychology Corporation is 1790297182 and holds a License No. (Louisiana).

The current practice location address for George S. Park, Phd., Mp., A Psychology Corporation is 2285 Benton Rd Ste 401, Bossier City, LA and can be reached out via phone at 318-415-8755 and via fax at 318-746-8565.

Location: 2285 Benton Rd Ste 401, Bossier City, LA, 71171-5478
institution
Provider Profile Details
NPI Number
1790297182
Provider Name
George S. Park, Phd., Mp., A Psychology Corporation
Credential
Provider Entity Type
Organization
Address
2285 Benton Rd Ste 401, Bossier City, LA, 71171-5478
Phone Number
318-415-8755
Fax Number
318-746-8565
Provider Enumeration Date
10/25/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2285 Benton Rd Ste 401
City
State
Zip
71111-7933
Phone Number
318-415-8755
Fax Number
318-746-8565
person
Provider Business Mailing Address Details
Address
2285 Benton Rd Ste 401
City
State
Zip
71111-7933
Phone Number
318-415-8755
Fax Number
318-746-8565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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