| Dr Stacey Park, PHD | |
|
6314 19th St W Ste 14, Fircrest, WA 98466-6223 | |
| (253) 239-2310 | |
| (253) 239-2311 |
| Full Name | Dr Stacey Park |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6314 19th St W Ste 14, Fircrest, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659801173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY60880262 (Washington) | Primary |
| 103TC1900X | Psychologist - Counseling | 28774 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Park, PHD 6314 19th St W Ste 14, Fircrest, WA 98466-6223 Ph: () - | Dr Stacey Park, PHD 6314 19th St W Ste 14, Fircrest, WA 98466-6223 Ph: (253) 239-2310 |
Dr. Tiffany Artime, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 65th Ave W, Fircrest, WA 98466 Phone: 253-566-5559 Fax: 253-565-0274 | |
Dr. Lawrence V. Majovski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6512 20th Street Ct W, Suite C, Fircrest, WA 98466 Phone: 253-572-9917 Fax: 253-858-4060 |