SAMUEL PARK

RICHMOND, VA
NPI1205222510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: VA  0810005121)
Enumeration Date2015-04-13
Last Update Date2019-07-25
Business Address
DR. SAMUEL PARK PHD
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
Mailing Address
DR. SAMUEL PARK PHD
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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