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

Individual provider Clinical Psychologist · NPI 1912967019

Mr. Douglas J. Park, PHD is a Clinical Psychologist in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2314 Monroe St
Dearborn, MI 48124-3010
Phone: (313) 565-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301011777 (MI)

Record details

NPI number1912967019
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESMay 19, 2014
Mailing address2314 Monroe St, Dearborn, MI 48124-3010

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