Dr Alexandrea Park, PSYD is a
Clinical Neuropsychologist based in Beverly Hills, California. Dr Alexandrea Park is licensed to practice in California (license number 25773) and her current practice location is
9107 Wilshire Blvd Ste 475, Beverly Hills, California. She can be reached at her office (for appointments etc.) via phone at
(310) 941-7775.
NPI number for Dr Alexandrea Park is 1982987723 and her current mailing address is 9663 Santa Monica Blvd # 1058, Beverly Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982987723.
Healthcare Provider's Profile
| Full Name | Dr Alexandrea Park |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 9107 Wilshire Blvd Ste 475, Beverly Hills, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982987723
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 10/02/2013
Medical Identifiers
Medical identifiers for Dr Alexandrea Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982987723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 25773 (California) | Primary |
| 103TC0700X | Psychologist - Clinical | 25773 (California) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 25773 (California) | Secondary |
| 103TF0200X | Psychologist - Forensic | 25773 (California) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 25773 (California) | Secondary |
| 103T00000X | Psychologist | 25773 (California) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 25773 (California) | Secondary |
| 103TH0004X | Psychologist - Health | 25773 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alexandrea Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alexandrea Park, PSYD
9663 Santa Monica Blvd # 1058,
Beverly Hills, CA 90210-4303
Ph: (310) 941-7775 | Dr Alexandrea Park, PSYD
9107 Wilshire Blvd Ste 475,
Beverly Hills, CA 90210-5559
Ph: (310) 941-7775 |
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