IndividualActive
George Park, PH.D., M.P.
NPI 1437199031 · Prescribing (Medical) Psychologist · Bossier City, LA
Provider details
- NPI number
- 1437199031
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., M.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MP0983 (LA)
Practice location
2285 Benton Rd Bldg 3
Suite 401
Bossier City, LA 71111-7933
Phone: (318) 415-8755
Fax: (318) 746-8565
Mailing address
Po Box 5478
Bossier City, LA 71171-5478
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.