National Provider Identifier
Bonnie Changhee Park, PH.D.
Bonnie Changhee Park, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 865-0230.
Profile Overview
- NPI
- 1508825274
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- March 21, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1597 Ridge Road West
- Suite 301
- Rochester, NY 14615
Phone: (585) 865-0230
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1508825274
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Bonnie
- Middle Name
- Changhee
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 1597 Ridge Road West
- Mailing Address Line 2
- Suite 301
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615
- Mailing Country
- US
- Mailing Phone
- (585) 865-0230
- Mailing Fax
- (585) 865-0234
- Practice Street Address
- 1597 Ridge Road West
- Practice Address Line 2
- Suite 301
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615
- Practice Country
- US
- Practice Phone
- (585) 865-0230
- Practice Fax
- (585) 865-0234
- Enumeration Date
- March 21, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)