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Contact Information

BONNIE C PARK, PhD
1597 RIDGE ROAD WEST
SUITE 301
ROCHESTER, NY14615
 Phone: 585-865-0230
 Fax: 585-865-0234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BONNIE C PARK · (Female)

NPI # 1508825274
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015206-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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