DOUGLAS J. PARK

DEARBORN, MI
NPI1912967019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301011777)
Enumeration Date2006-03-24
Last Update Date2014-05-19
Business Address
Mr. DOUGLAS J. PARK Ph.D
2314 MONROE ST
DEARBORN, MI 48124-3010
Phone number: 313-565-5937
Mailing Address
Mr. DOUGLAS J. PARK Ph.D
2314 MONROE ST
DEARBORN, MI 48124-3010
Phone number: 313-565-5937