Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacey Park, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1659801173

Dr. Stacey Park, PHD is a Clinical Child & Adolescent Psychologist in Fircrest, Washington. Licensed in California and Washington. Registered with an NPI since 2017.

Licensed in
CA, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

6314 19th St W Ste 14
Fircrest, WA 98466-6223
Phone: (253) 239-2310
Fax: (253) 239-2311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PY60880262 (WA)
Counseling Psychologist Taxonomy 103TC1900X · Licence 28774 (CA)

Record details

NPI number1659801173
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESJune 25, 2022
Certification dateJune 25, 2022
Mailing address6314 19th St W Ste 14, Fircrest, WA 98466-6223

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