Carol A Park, LPC, RD, LD, CEDRED is a
Dietitian, Registered based in Richardson, Texas. Carol A Park is licensed to practice in Texas (license number DT02795) and her current practice location is
1702 N. Collins Blvd. Ste 207, Richardson, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 324-9744.
NPI number for Carol A Park is 1205913845 and her current mailing address is 1702 N Collins Blvd Ste 207, Richardson, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205913845.
Healthcare Provider's Profile
Full Name | Carol A Park |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1702 N. Collins Blvd. Ste 207, Richardson, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205913845
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 08/24/2020
Medical Identifiers
Medical identifiers for Carol A Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205913845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 66588 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 66588 (Texas) | Secondary |
133V00000X | Dietitian, Registered | DT02795 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol A Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carol A Park, LPC, RD, LD, CEDRED 1702 N Collins Blvd Ste 207, Richardson, TX 75080-3550 Ph: (469) 324-9744 | Carol A Park, LPC, RD, LD, CEDRED 1702 N. Collins Blvd. Ste 207, Richardson, TX 75080-3550 Ph: (469) 324-9744 |
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